VL5 Information Request

Name(Required)
Address(Required)
We use this for due diligence checks in the investment process.
MM slash DD slash YYYY

Supporting Documents

These are also used in due diligence checks.
Please enter the Password MRZ reference from your passport as demonstrated in the image below.
Drop files here or
Accepted file types: pdf, Max. file size: 50 MB, Max. files: 2.

    Emergency Contact

    Health & Safety

    This section asks you to provide details of any allergies we need to know about and any disability that requires us to make special arrangements for you. Please be reassured that this information will be kept confidential and only used if necessary, should you become ill whilst you are on the programme/attending the in-person events.

    DEI

    Any information provided will be used anonymously and in compliance with our terms and conditions (eg: X% of our founders have a PhD). You do not have to share any information with us and can request that your information be deleted at any point in time. Please contact jordan@carbonthirteen.com with any questions.
    What gender do you most identify with?
    Do you identify as part of the LGBTQ+ communicty?
    What ethnicity do you most identify with?
    Do you have caring responsibilities? If yes, please tick all that apply.
    Do you have children under 16 years of age?
    Do you have children under 5 years of age?
    What is your highest level of education?

    Additional Questions

    Are you currently enrolled in a PhD programme?(Required)
    Are you currently disqualified from holding a director's position in a company?(Required)
    Do you need a visa to attend the programme?(Required)
    GDPR(Required)
    This field is for validation purposes and should be left unchanged.