Telehone number (inc. code)
Alternative telephone number
Preferred language of communication
About your company
Enter N/A if not VAT registered
Company number (if limited)
Address line 1
Address line 2
Isle of Anglesey
Is this a home address?
Date of first commercial sale
Leave blank if not applicable
Is the company a social enterprise?
A social enterprise is an enterprise with primarily social objectives whose surpluses are principally reinvested for that purpose in the enterprise or in the community, rather than being driven by the need to maximise profit for shareholders and owners.
Is the company an SME?
analysis/sme-definition/index_en.htm for a definition of an SME
Four digit SIC code
Number of employees
€10,000 to €49,000
€50,000 to €99,999
€100,000 to €199,000
€200,000 to €499,000
€500,000 to €999,000
€1,000,000 to €1,999,999
€2,000,000 to €4,999,999
€5,000,000 to €9,999,999
€10,000,000 to €19,999,999
€20,000,000 to €49,999,999
€50,000,000 or more
This equal opportunities information should be provided for the owners of the enterprise supported. If information is not available for owners, information should be provided for directors or senior managers.
Ethnic origin questions are not about nationality, place of birth or citizenship. They are about broad ethnic groups. Black and Minority Ethnic groups include people who may face barriers because of their ethnic origin, in accessing opportunities in Wales and Ireland.
The Social Model of Disability recognises that disabled people are people with impairments who are disabled by their environment. This Model is recognised by disabled people and was formally adopted by the Welsh Government in 2002.
The Social Model of Disability makes the important difference between ‘impairment’ and ‘disability’. It recognises that people with impairments are disabled by the barriers that commonly exist in a society. In simple terms, it is not the inability to walk that prevents a person entering a building unaided but the existence of stairs that are inaccessible to a wheelchair-user. In other words, 'disability' is socially constructed. The Social Model of Disability requires society to remove the barriers in order that all people have equality. Further information can be found at
Owners should be asked whether they consider themselves to be a disabled person because of the barriers (attitudinal, environmental and organisational) which prevent them from participating fully in all areas of life.
Number of male owners
Number of female owners
Number of BME owners
Number of non-BME owners
Number of owners who consider themselves disabled
Number of owners who understand Welsh
Number of owners who speak Welsh
Number of owners who read Welsh
Number of owners who write Welsh
Number of owners who understand Irish
Number of owners who read Irish
Number of owners who read Irish
Number of owners who write Irish
Number of owners who are aged 0-24
Number of owners who are aged 25-44
Number of owners who are aged 45-64
Number of owners who are aged 65-74
Number of owners who are aged 75+
I confirm that the details provided on this form are true to the best of my knowledge. I am aware that this activity is funded by the Ireland-Wales programme 2014-2020 and part funded by Welsh Government through the European Regional Development fund (ERDF).
Your information will be added to a database used to pass information to WEFO, for project monitoring and audit purposes under the Data Protection Act 1998.
Declaration & digital signature
Send me a copy of my responses
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