Which ESD Funding Programme are you applying for?
*
Please Select
PIC Skill Development Training and Mentorship
Which region is your business located in or applying from?
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Please Select
Tronox Matzikama Municipality
Tronox Saldanha Municipality
Date of submission
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Day
-
Month
Year
Date
ESD SUPPORT APPLICATION FORM
SUPPLIER INFORMATION
WHAT ARE YOU APPLYING FOR?
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Asset finance
Asset re-finance
Bridging loan
Acquisition finance
Skills Development & Training
COMPANY NAME (As per registration certificate)
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COMPANY REGISTRATION NUMBER
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DATE OF REGISTRATION
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Day
-
Month
Year
Date
UPLOAD CIPC DOCUMENTS
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SHAREHOLDER DETAILS
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UPLOAD SHAREHOLDER CERTIFICATES
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UPLOAD DIRECTOR CVS
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UPLOAD DIRECTOR(s) CERTIFIED IDs
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ENTERPRISE TYPE
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EME: Total annual revenue of R10 million or less
QSE: Total annual revenue of between R10 million and less than R50 million
NONE OF THE ABOVE
B-BBEE LEVEL
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Please Select
LEVEL 1
LEVEL 2
LEVEL 3
LEVEL 4
LEVEL 5
LEVEL 6
LEVEL 7
LEVEL 8
UPLOAD B-BBEE AFFIDAVIT/CERTIFICATE
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UPLOAD A VALID B-BBEE CERTIFICATE/AFFIDAVIT
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B-BBEE AFFIDAVIT/CERTIFICATE EXPIRY DATE
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-
Day
-
Month
Year
Date
UPLOAD TAX CLEARANCE CERTIFICATE/PIN
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UPLOAD A VALID TAX CLEARANCE CERTIFICATE
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SARS - TAX CLEARANCE/PIN EXPIRY DATE
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-
Day
-
Month
Year
Date
VAT NUMBER (IF APPLICABLE)
FINANCIAL YEAR END
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-
Day
-
Month
Year
Date
UPLOAD LATEST AUDITED FINANCIAL STATEMENTS, 3-MONTHS MANAGEMENT ACCOUNTS OR 3-MONTHS BANK STATEMENTS
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UPLOAD LATEST MANAGEMENT ACCOUNTS OR AUDITED/REVIEW FINANCIAL RESULTS
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PREVIOUS YEAR TURNOVER/REVENUE
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TOTAL NUMBER OF EMPLOYEES IN CURRENT BUSINESS
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HEAD OFFICE ADDRESS
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COMPANY REPRESENTATIVE
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First Name
Surname
Email Address
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Confirmation Email
example@example.co.za
Contact Number
*
Please enter a valid phone number.
KEY MANAGEMENT & STAFF (NAMES & SURNAMES)
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COMPANY BACKGROUND
DESCRIBE CURRENT OPERATIONS AND COMPANY BACKGROUND
COMPANY CHALLENGES
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PRODUCTS AND SERVICES OFFERED
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LIST OF PREVIOUS AND CURRENT CLIENTS
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UPLOAD COMPANY PROFILE
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AVERAGE REVENUE PER MONTH
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NATURE OF CURRENT CONTRACTS
NATURE OF CURRENT CONTRACTS
NATURE OF CURRENT CONTRACTS
UPLOAD COPIES OF CONTRACTS (AS MENTIONED ABOVE)
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UPLOAD EXISTING CONTRACTS
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FUNDING PURPOSE
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FUNDING AMOUNT
*
FUNDING DETAILS
*
QUOTATIONS
*
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UPLOAD ANY QUOTATIONS TO SUPPORT FUNDING NEED
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HOW WILL YOUR COMPANY BENEFIT FROM FUNDING
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UPLOAD MOTIVATION LETTER
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OPERATIONS
DETAILS OF YOUR COMPANY'S OPERATIONS
IS YOUR COMPANY REGISTERED WITH?
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SARS FOR INCOME TAX
SARS FOR VAT
SARS FOR PAYE
WHERE DOES YOUR COMPANY/BUSINESS OPERATE FROM
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LOCATION
IS YOUR COMPANY CIPC COMPLIANT?
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YES
NO
DOES THE COMPANY HAVE A BUSINESS PLAN IN PLACE?
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YES
NO
IS THE COMPANY REQUIRED TO BE TECHNICALLY COMPLIANT WITH HEALTH & SAFETY, SHEQ?
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YES
NO
DOES THE BUSINESS HAVE FINANCIAL RECORDS (MANAGEMENT ACCOUNTS AND FINANCIAL STATEMENTS?
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YES
NO
ARE THE COMPANY'S ASSETS INSURED?
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YES
NO
WHAT ACCOUNTING SYSTEM DOES THE COMPANY USE?
HOW DOES THE COMPANY MARKET? DO YOU HAVE A WEBSITE? ARE YOU ON SOCIAL MEDIA?
PROVIDE LINKS IF ANY
WHO ARE THE COMPANY’S COMPETITORS?
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LIST IF ANY
DOES THE COMPANY MAKE USE OF TECHNOLOGY (HARDWARE AND SOFTWARE)? WHAT TOOLS ARE YOU CURRENTLY USING?
DESCRIBE IN ANY
DOES THE COMPANY HAVE ANY SAVINGS OR INVESTMENTS?
ENTER AMOUNT IF ANY
ARE YOU INVOLVED IN ANY COMMUNITY SUPPORT PROGRAMMES?
LIST OF ANY
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IDENTIFIED RISKS AND HOW THEY WILL BE CONTROLLED
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Signature
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