CLIENT RELOCATION FORM

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Empowering the African Diaspora Through Strategic Relocation & Economic Integration

PERSONAL INFORMATION

Full Legal Name *

Gender *MaleFemaleNon-binaryPrefer not to sayOther

Date of Birth *

Street Address

City

ZIP / Postal Code

Country

Country Currently Residing In *

Email Address *

Mobile Phone Number

Emergency Contact Name

Emergency Contact Relationship *

Emergency Contact Number *

PROFESSIONAL & BUSINESS BACKGROUND

Current Occupation *EntrepreneurInvestorEmployee/ProfessionalRetireeStudentOther

Other

Industry Sector(s) of Expertise *AgricultureTechnologyFinanceHealthcareEducationManufacturingReal EstateTourism & HospitalityCreative ArtsRenewable EnergyE-commerceOther

Other

Business Experience *• Do you currently own or operate a business?YesNo

If yes, please provide: • Business Name: *

• Nature of Business: *

• Annual Revenue Range:

• Countries Operated In:

Investment Capacity: • Are you looking to invest in Africa? *YESNO

If yes, please specify approximate investment amount: *• $50K–$100K• $100K–$500K• $500K–$1M• Over $1M• Not sure yet

RELOCATION INTENTIONS

Preferred Destination Country *GhanaNigeriaSouth AfricaOpen to AllOther (Please specify):

Other

Reason for Relocating (Select all that apply) *Business ExpansionNew Venture Start-upEmployment OpportunityCultural ConnectionRetirementFamily ReasonsInvestment OpportunityOther:

Other:

Estimated Relocation Timeline *Within 3 months3–6 months6–12 months1–2 yearsUndecided

MEMBERSHIP PACKAGE SELECTION

Choose your preferred membership level: *1. BASIC • General Relocation Consultation2. PLUS • General Relocation Consultation • Business Startup Consultation3. PREMIUM • General Relocation Consultation • Business Startup Consultation • Real Estate Investment Consultation • Legal & Immigration Advisory • Cultural & Social Integration Consultation4. ENTERPRISE • General Relocation Consultation • Business Startup Consultation • Real Estate Investment Consultation • Legal & Immigration Advisory • Cultural & Social Integration Consultation . Business Networks

Type of Support Needed (Check all that apply) *Visa & Immigration AssistanceHousing & AccommodationBusiness Registration & LicensingLocal Market ResearchNetworking & MentorshipAccess to Investors or FundingLegal & Tax AdvisoryCultural Orientation & Language TrainingJob PlacementCo-working Space AccessCommunity Integration EventsOther

Other

DOCUMENTATION & VERIFICATION

Please upload or attach the following documents where applicable:

• ✅ Copy of Passport (Bio Page) -Upload file

No file chosen

• ✅ CV or Resume - Upload file

No file chosen

• ✅ Business License or Certificate (if applicable) - Upload file

No file chosen

• ✅ Letters of Intent or Partnership Agreements (if applicable) - Upload file

No file chosen

Consent *

Note: These documents are kept confidential and used solely for processing your relocation request.

I confirm that the information provided in this form is accurate and complete. I understand that Black Business Bridge will use this information to assess my eligibility for relocation services and connect me with relevant partners and resources. I agree to be contacted by BBB representatives regarding my relocation journey.

Yes, I agree with the privacy policy and terms and conditions.

Applicant Name *

Date

BBB OFFICE USE ONLY

Assigned BBB Consultant

StatusApplication ReceivedUnder ReviewApprovedRejectedIn Progress

BBB Consultant Notes

ADDITIONAL NOTES FOR CLIENTS:

• Custom Packages: For tailored services not covered above, contact [BBB] by email: info@blackbusinessbridge.com to discuss bespoke options. • Payment Policy: Fees are non-refundable unless BBB fails to deliver agreed services. • Service Timeline: BBB will confirm delivery schedules within 5 business days of payment.

THANK YOU FOR CHOOSING BLACK BUSINESS BRIDGE!

We are excited to support your journey back to Africa and help you thrive as part of our growing diaspora community. 📞 for assistance, contact us at: 0547714648 / 0209268092 🌐 Website: www.blackbusinessbridge.com 📧 Email: info@blackbusinessbridge.com

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