Mpophomeni Business Incubator 2026/27 Programme Application
Complete the application form using the original section order and field labels from the reference document. Select your business status so the correct part of the form appears. Attach required documents and complete the POPI consent/declaration where applicable.
Application Type and Applicant Details
Application Type
*
Please Select
Start-up Business
Existing Business
Entrepreneur’s Name & Surname
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
WhatsApp
Please enter a valid phone number.
Format: (000) 000-0000.
Part 1: Start-up Business Information
CIPC Registration Status
*
Please Select
Registered
Not registered
In progress
Other
Does the startup have a name
*
Please Select
Yes
No
Startup Name
Physical Address
*
Business Sector
*
Agriculture
Manufacturing
Retail
Services
Technology
Construction
Hospitality
Other
Business Sector Other
Describe business idea
*
Problem to solve
*
Current stage
*
Idea only
Prototype developed
Testing with potential customers
Ready to launch
Other
Have business plan
*
Please Select
Yes
No
In progress
What makes idea unique
Support required
*
Business planning
Mentorship
Funding guidance
Marketing support
Legal support
Training
Equipment
Workspace
Other
Support required Other
Comments on support needs
Expected benefit
Willingness to commit
*
Please Select
Fully committed
Somewhat committed
Not sure
Internet access
Preferred communication
*
Phone call
SMS
Email
WhatsApp
Other
Participation in other programs
*
Please Select
Yes
No
Details of other programs
Attachments
Upload a File
Drag and drop files here
Choose a file
Cancel
of
POPI Consent Declaration
*
Signature
*
Date
*
-
Month
-
Day
Year
Date
Part 2: Existing Business Information
Show only when Application Type indicates an existing / already registered / already operating business.
Registered Business Name
*
Trading Name
Registration Number
Business Type
*
Please Select
Sole Proprietor
Partnership
Private Company (Pty) Ltd
Close Corporation (CC)
Co-operative
Non-Profit Organisation
Other
Date Business Started
*
-
Month
-
Day
Year
Date
Business Operating Status
*
Please Select
Currently operating
Temporarily closed
Seasonal operation
Other
Physical Business Address
*
Business Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Business Email Address
example@example.com
Website or Social Media Page
Industry Sector
*
Please Select
Agriculture
Manufacturing
Retail
Wholesale
Construction
Services
Technology
Tourism
Transport
Other
Describe Your Existing Business
*
Products or Services Offered
*
Main Customer Groups
*
How the Business Makes Money
*
Years in Operation
Number of Employees
Employment Status
Please Select
Self-employed
Employing staff
Using family labour
Other
Business Location Type
Please Select
Home-based
Rented premises
Owned premises
Mobile/Informal trading
Online-only
Other
Supporting Documents Attached
*
Company registration certificate
Tax Clearence
Trading licence
Proof of address
Owner CV / Profile
Owner Picture /Photo
Owner/s ID Copy
Other
Business Banking Details Available
Yes
No
Primary Product or Service
*
Current Business Activities
*
Business Growth Stage
*
Please Select
Early growth
Growing
Established
Needs turnaround
Other
Main Business Challenges
*
Support Needed From the Incubator
*
Areas Where Support Is Needed
*
Business planning
Marketing and sales
Financial management
Bookkeeping
Access to markets
Product development
Operations and systems
Compliance and registration
Digital skills
Mentorship
Funding readiness
Other
Have You Received Business Support Before?
Please Select
Yes
No
If Yes, Please Describe Previous Support
Are You Currently Trading?
*
Please Select
Yes
No
If No, Explain Why the Business Is Not Currently Trading
Average Monthly Turnover
Main Suppliers or Service Providers
Main Competitors
What Makes Your Business Different
*
Do You Have Business Records?
Please Select
Yes
No
Business Records Kept
Sales records
Expense records
Stock records
Customer records
Payroll records
Other
Upload Business Registration Documents
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Proof of Business Address
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Owner CV / Profile
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Owner ID Document
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Additional Supporting Documents
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Communication and Support Preferences
Preferred Contact Method
*
Please Select
Phone
Email
WhatsApp
SMS
Other
Preferred Time for Contact
Hour Minutes
AM
PM
AM/PM Option
Permission to Share Business Information with Programme Partners
*
Yes
No
Declaration and Consent Signature
*
Declaration
*
Date Signed
*
-
Month
-
Day
Year
Date
Submit Application
Submit Application
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