Anglo American Zimele Business Accelerator and Incubator Programme Application Form (2026 Multi-Sector Cohort)

ANGLO AMERICAN ZIMELE BUSINESS ACCELERATOR / INCUBATOR APPLICATION FORM 2026 Multi-Sector Cohort | In partnership with Sigma International

Thank you for your interest in this fully funded business support programme for small businesses in selected sectors, in Kumba Iron Ore’s mining host communities (Sishen and Kolomela).
This application form is for the Anglo American Zimele Business Accelerator and Incubator Programme, implemented in partnership with Sigma International. It is designed to support high-potential and vulnerable SMMEs operating in key economic sectors including Tourism, Agri & Agri-processing, Construction, Retail & Services, Manufacturing, Logistics, and Mining Support. The programme aims to build capacity, improve compliance, and increase access to markets and digital tools through tailored business development support. Participation is fully funded, and full commitment to the programme is essential for meaningful results.

Please submit the application (via the jotform link) by 19 June 2026, along with the required documents.
Section A: Business Details
1. Business Name
2. Which sector does your business fall under?
3. Please specify your sub-sector or area of focus within the selected sector:
4. Physical Business Address
5. Business Owner’s Full Name
6. Landline Number
Please enter a valid phone number.Format: (000) 000-0000.
7. Mobile Number
Please enter a valid phone number.Format: (000) 000-0000.
8. Email Address
example@example.com
9. Business physical address
10. Your Host Community
11. Website / Social Media Link (if available):
12. Legal Entity Type (e.g. Pty Ltd, Sole Trader, CC):
13. Company Registration Number
14. Year of Registration
15. Date Business Started

MonthDayYear
Date
16. Shareholding Information (List each owner names and percentage owned ):
Section B: Business Operations & Market
17. Is the Business Currently Operational?
18. Briefly describe your main products or services:
19. Who are your key customers:
20. Do you belong to any industry bodies or associations?:
21. How do you currently market your business? (Tick all applicable): Social/Digital Media / Print Media / Word of Mouth / Other

Other
22. Other specify:
23. Number of Employees - Full Time (Baseline – May 2026):
24. Number of Employees - Part-Time (Baseline – May 2026):
Section C: Financial Information
25. Turnover/Sales (Baseline – May 2026)
26. Annual Turnover 2025
27. Annual Turnover 2024
28. Annual Turnover 2023
Section D: Business Strengths, Challenges & Support Needs
29. What are your business's key strengths or unique selling points?:
30. What are your biggest business challenges?
31. What support does your business require? (Tick all applicable): Marketing / Market Access / Training / Compliance / Funding / Other

Other
32. Please explain the support needed in more detail:
33. Are you part of any other incubator or support programme? If yes, provide details:
34. What do you hope to gain from this programme?:
Section E: Programme Fit & Commitment
35. Do you have access to a smartphone or computer with internet?
36. Preferred method of communication: Email / WhatsApp / Phone Call
37. Are you willing to commit to the programme?
Section F: ESG / Environmental & Social Responsibility
38. Do you currently do anything to help protect the environment in your business? (Yes/No). If yes, explain:
39. Does your business support workers or the local community? (Yes/No). If yes, explain:
40. Do you have written rules/policies? (Yes/No). If yes, tick and attach: Health & Safety / Finance / HR / Other:

Other
41. Do you have ideas to be more environmentally/socially responsible in future? If yes, describe:
42. What support would help improve your environmental or social impact? Training / Equipment / Funding / Expert Advice / Other:
Section G: Supporting Documents Checklist
43. Copy of ID for all shareholders/owners attached
44. Proof of business physical address attached
45. Company registration certificate and shareholder certificate attached
46. Tax Clearance Certificate attached
44. CV/Profile of owner/s attached
48. Recent photo of owner/s attached
49. Valid and current B-BBEE Sworn Affidavit/Certificate attached
50. Latest electricity or water bill attached
51. Proof of eco-friendly actions attached
52. Business profile, awards, certificates attached
53. 30-second video introduction attached
54. File Upload

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Section H: Declaration
First Name Last Name ,confirm that the information provided in this application is true and correct to the best of my knowledge.
55. Business Name
56. Name of Applicant
57. Designation
58. Declaration - Date

MonthDayYear
Date
Should be Empty:

ANGLO AMERICAN ZIMELE BUSINESS ACCELERATOR / INCUBATOR APPLICATION FORM 2026 Multi-Sector Cohort | In partnership with Sigma International

Section A: Business Details

Section B: Business Operations & Market

Section C: Financial Information

Section D: Business Strengths, Challenges & Support Needs

Section E: Programme Fit & Commitment

Section F: ESG / Environmental & Social Responsibility

Section G: Supporting Documents Checklist

Section H: Declaration