SMALL BUSINESS BUREAU MINISTRY OF BUSINESS

SMALL BUSINESS BUREAU MINISTRY OF BUSINESS
APPLICATION FORM
Small Business Relief Grants and Services (SBRGS)
Name

First Name(s)Surname
Permanent Address
Home Telephone Number(s)
Mobile Telephone Number(s)
Email Address
example@example.com
ID Number
Name of Business/Trading Name
Date Business Registered

MonthDayYear
Date
Period of Operation
Type of Business
Type(s) of Products and Services
Business Address
Business Telephone Number(s)
Number of Employees
Average Number of Customers
Average Monthly Income
Average Monthly Expenses
Current Business Status (Open/Closed)
3. COVID-19 IMPACT ON BUSINESS (briefly state 3-5 major areas of impact below) 1
3. COVID 19 IMPACT ON BUSINESS (briefly state
4. BUSINESS RELIEF REQUIRED (identify as many areas as possible)
Relief Grant (Yes/No) and Amount Required
Purpose of Relief Grant (please state)
Training (Yes/No) and Type of Training
Support in Diversifying Business (Yes/No) and Area
Advertising/Establishing Business Online (Yes/No)
Other (please state)
5. BUSINESS RELIEF SUPPORT RECEIVED (from other agencies)
COVID 19 business relief support received from other agencies(Yes/No
If Yes, briefly state type(s) of business relief support received
Registered Client of SBB (Yes/No)
Date of Registration (Year/Month)

MonthDayYear
Date
NIS Compliance (Yes/No)
GRA Compliance (Yes/No)
Recipient of SBB Support (Yes/No)
Type(s) of Support Received and when
1 Where possible attach evidence of COVID-19 impact on business, such as monthly income and expenditure statement.
Should be Empty: