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Personal Information
First Name
Surname
ID Number
Title
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Address Information
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District
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City / Town
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Suburb
Street Address
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Disability Information
Do you consider yourself to have a disability as defined in the South African Employment Equity Act?
(A long-term or recurring physical, mental, intellectual, or sensory impairment which substantially limits one or more major life activities.)
This section helps us determine eligibility for certain products and to report on our support for persons with disabilities. Completion is voluntary, but may be required for some funding options.
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Business Information
What sector do you operate in?
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Agriculture, hunting, forestry and fishing
Community, social and personal services
Construction
Electricity, gas and water supply
Financial intermediation, insurance, real estate and business services
Manufacturing
Mining and quarrying
Not Categorised
Transport, storage and communication
Wholesale and retail trade: repair of motor vehicles, motor cycles and personal and household goods; hotels and restaurants
Business Description
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What is your aspiration for your business in the next 5 years?
Formalise my informal business and stabilise it
Remain a steady, profitable small business
Grow significantly and enter new markets
Become a large enterprise or industry leader
Innovate and achieve high impact
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Declaration, Consent and Indemnity
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