Judging Period: Exit Must Have Been Completed Between

Exit of the Year

Judging Period: Exit must have been completed between

1st January to 31st December 2016.

Entries must be emailed to by 20th March 2017.

Please read the Rules and Conditions below before entering.

Please indicate total number of pages in your submitted entry [ ]

Special Note: To be shortlisted for the award, the entry has to include the name and title of the person designated to receive the award, if won. The person will have to be available to attend the Awards Gala Dinner, to be hosted in London on 1st June 2017. Kindly note the Private Equity Africa Awards are only collected by senior members of the team, at Partner & Director level or above.

A: AWARD SEGMENT

Please tick the relevant box to select the award being entered

□Large Cap [Deal size: > $100m]

□Mid Cap [Deal size: $20m to $100m]

□Small Cap [Deal size: <$20m]

□Landmark

B: NOMINEE DETAILS

Investor name
Location
Physical address
Contact person
Telephone number
Email address
Designated Award Recipient (Name & job title)

C: EXIT DEAL DETAILS

All responses should be factual and will be treated as confidential

Company name
Sector & location
Exit deal value
Exit type
(IPO, etc)
Partial or full exit?
Exit date
Deal buyer
Entry deal value
Original entry date
Follow on investments
before exit (Debt & Equity)
Other investors
(Debt & Equity)
Returns
(IRR and/or Money Multiple)
Advisors
Unique exit deal aspects

D: ADDITIONAL DETAILS

Please provide additional details that may aid in decision making

(Each response must be a maximum 200 words)

Growth since investment
Impactachieved
(Development & Social)
Challenges overcome to exit deal
Corporate Social Responsibility:
Private Equity Africa every year supports one grass-root charity.
Kindly recommend a charity that you work with or that operates in your region and that you would like us to work with.
Please also provide contact details for the CSR contact person at your firm.
Charity name
Location
Physical address
Contact person
Telephone number
Email address
CSR contact at your firm

PRIVATE EQUITY | AFRICA

2017 AWARDS

RULES AND CONDITIONS OF ENTRY

Entrants must adhere to the following general rules, for their entries to be considered:

1)All entries must be submitted on an official Private Equity Africa 2017 Awards entry form.

2)Please supply as much information as possible.

3)Where requested a case study of not more than 700 words maybe supplied. Please do not send in any other supporting material.

4)Each submission should have the following information: category name, nominee name andtotal number of pages submitted. Please each page of a submission should be numbered.

5)The submitted nominee name and category name will be used on Awards collateral.

6)All entries must reach the Private Equity Africa editorial team by 20th March 2017.

7)All entries will be treated as confidential, seen only by the nomination team and judges of Private Equity Africa 2017 Awards.

8)Entry documents cannot be returned.

9)Private Equity Africa accepts no responsibility for the loss or damage of material.

10)The judges' decision is final.

11)The judging panel reserves the right to move entries from one category to another, where appropriate.

12)The awards are judging achievements between January and December 2016. Performance outside of these dates will not be considered.

13)All finalist entries, winners and commendations will be announced at the Private Equity Africa Awards Gala Dinner on 1st June 2017.

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Private Equity Africa 2017 Awards – Exit of the Year