Accelerator Application Form

Accelerator Application Form
By completing this form, you agree to this information being used to unlock commercial opportunities with prospective customers as part of the facilitation of the Accelerator. For more information, please download this info pack.
Company Name*
What is your business entity classification?*
Name*

First NameLast Name
Email*
example@example.com
Contact Number*
Please enter a valid phone number.
Alternative Contact Number
Please enter a valid phone number.
Website
If you have an active website.
Type of company*

ManufacturingServicesOther
What sector do you predominantly work in?*

AutomotivesChemicalsClothing, Textiles, Footwear and Leather (CTFL)FurnitureOther
How many years has this business been trading?*
Which province/s are you based in?*

KwaZulu-NatalGautengFree StateMpumalangaLimpopoNorth WestNorthern CapeEastern CapeWestern CapeOutside of South Africa
Which province/s are you based in?*
Head Office Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please provide the number of full-time equivalent employees*
What is the nature of your customer base?*
Please could you list your major customer/s over the last 5 years?*

Please could you provide your financial information for the last 3 years (financial year or calendar year depending on your reporting standards)*

	2019	2020	2021
Turnover
Net Profit

Optional: Please upload your latest Annual Financial Statement or Statement of Financial Position

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In 5-10 sentences, please tell us what your business offers your customers?*
In 5-10 sentences, please tell us what makes you unique compared to your competitors. *
Do you have a tax compliance certificate?*
Please upload your most recent Tax compliance certificate here:

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What is the nationality of the business owner?*
Which best describes your firm's ownership profile?*
Which best describes the race of the majority ownership of the firm?*
Which best describes the gender of the majority ownership of the firm?*
What is your B-BBEE level?*
Please upload your B-BBEE certificate:*

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Do you have external funding from any of the following sources?*

Self-fundedGrant Funding (E.g. B-BBEE grant, public sector grant)Non-traditional loan financing (E.g. public sector, development finance institute, corporate)Traditional loan financing (E.g. bank)
A series of sector specific questions will now be asked. Please answer those which are appropriate to your business. Sectors are CTFL (Clothing, Textiles, Footwear & Leather), automotive and chemicals.
CTFL: Do you have the capabilities to produce the following products?

Knit tops and dressesWoven tops and dressesSkirtsTailored jacketsPants and shortsRain jackets and outwearHeadwearSwimwearAthleisureDenimsKids/BabywearLeather footwearSynthetic materials footwearOther
CTFL: Do you have any experience working with the following materials?

DenimCottonLinenWoolSilkRayonSpandexNylonPolyesterPoly-FleeceViscoseLeatherOther
CTFL: How many machinists/operators do you employ in your business?
CTFL: Do you have a National Bargaining Council certificate?
CTFL: If applicable, please upload your National Bargaining Council certificate.

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Food & Beverage: What food and/or beverage products do you manufacture?
Autos: What systems do you have capabilities in?

EngineExhaustControlsCoolingGearboxDrive/Prop shaftsSuspensionBrake & SteeringDriver InterfaceInfotainmentOther
Autos: What materials do you have capabilities in?

Mild SteelHigh Strength Low AlloyAdvanced High Strength SteelMagnesiumBoron/MartensiteComposite and PlasticsHigh Strength SteelUltra High Strength SteelAluminium and aluminium alloysCarbon Fibre reinforced Plastics/CompositesCopperGlassBattery minerals (lithium, cobalt, nickel etc)Other
Chemicals: What product/service do you offer your customer/s?
E.g. fabrication services, welding, boiler making, etc.
Chemicals: What major markets do you supply into?

AgricultureRenewable EnergyResinsPaints and other coatingsPetroleum and GasFood and BeverageTransportationMining and MineralsPlasticsPharmaceuticalOther
Chemicals: What ISO Certification do you have?

ISO 9001ISO 18001OHSASISO 14001ISO 45001SABSOther
Please upload any standards and compliance certificates here:

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Do you measure any of the following performance metrics?

DowntimeAbsenteeismInternal Reject RateOn time deliveryLead TimeNone

Please upload any other supporting documents such as marketing materials, business plans, photos of your workplace etc.

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	Average
Downtime (%)
Absenteeism (%)
Lead time (days)
Internal Reject Rate (%)
On time delivery (%)