Tell us about yourself

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* 1. Full name

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* 2. Email

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* 3. Gender

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* 4. Ethnicity

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* 5. Age

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* 6. ID Number

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* 7. How many years’ experience do you have as a small-business owner?

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* 8. Tell us about your previous business endeavours (successes or failures).

Tell us about your business

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* 9. Business Name

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* 11. Business physical address

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* 12. Business Contact Number

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* 13. Website/Blog address

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* 14. Business social-media handles

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* 15. Describe your products and/or services (in 350 words or less)

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* 16. How was your business affected by Covid-19?

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* 17. Have the riots/recent unrest affected your business, and if so, how?

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* 18. How does your business plan to thrive beyond Covid-19?

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* 19. What was your monthly turnover prior to COVID /Riots?

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* 20. What is your current monthly turnover?

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* 21. How many people does your business employ?

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* 22. How do you plan to bounce back (from your setback) and thrive beyond Covid-19 and the riots?

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* 23. If you are a selected business, how would you use the R30 000 cash injection?

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* 24. If you are a selected business, how would you like the gap analysis to help your business bounce back (see the bottom of the page for a definition of a gap analysis)?

Share your dreams with us

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* 25. What has your business done in the past 12 months to impact the community?

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* 26. How is your business promoting eco-friendliness?

Share your dreams with us

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* 27. Tell us your future plans and how you aim to become the most preferred supplier for your clients.

Nearly done

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* 28. Are you a Nedbank client?

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* 29. Would you like Nedbank Small-business Services to contact you?

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* 30. Would you like more information from 702?

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* 31. Would you like more information from Eye Witness News?

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1. The business owner must fill in this form, as they will be representing the business.  

2. If your application is selected for the next round, we will need to verify your information. We will need you to submit the following documents:
  • CIPC business registration.
  • Annual financial statements and a sworn affidavit from your accountant confirming your company turnover.
  • Your tax clearance certificate.

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