African Bank Women Entrepreneurship Development Programme
Personal Information
Name & Surname*
Contact Number*
ID Number*
ID number incorrect or too short
Email Address*
Gender*
-- Select Gender --
Male
Female
Race*
-- Select Race --
Black
White
Indian
Coloured
Asian
Disability*
-- Select --
No
Yes
If yes, please specify
Province*
-- Select Province --
Gauteng
Western Cape
KwaZulu-Natal
Eastern Cape
Northern Cape
Free State
Limpopo
Mpumalanga
North West
Not applicable
City*
Qualifications and Certifications of Business Owner(s)*
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Business Information
Business Name*
Business Registration Number*
Business Address*
What stage is your business?*
-- Select Stage --
Early Stage
Growth
Scaling and Expansion
Maturity
Sector*
-- Select Sector --
Finance, Real Estate, and Business Services
General Government Services
Wholesale, Retail, and Motor Trade
Catering and Accommodation
Manufacturing
Mining
Agriculture
Communications
Tourism
Other
Industry*
Is the business compliant with sector regulations/standards? (Elaborate)*
Describe your Business Offering*
How long has the business been operating? (Years)*
Use a dot for decimals (e.g., 0.5), not a comma.
Annual Turnover (Last Financial Year)*
Use a dot for decimals (e.g., 0.5), not a comma.
Monthly Turnover*
Use a dot for decimals (e.g., 0.5), not a comma.
Number of Employees*
Use a dot for decimals (e.g., 0.5), not a comma.
Business Leadership Structure and Qualifications*
Is the Business Tax Compliant?*
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Market and Competition
Who are your target customers and how big is the market?*
Do you have documentation to support the answer above?*
-- Select Option --
Yes
No
Who are your main competitors?*
Is there a competitor analysis report in place?*
-- Select Option --
Yes
No
How unique or innovative is your service or product compared to competitors?*
What is your strength as a business?*
Which areas require improvement to grow the business?*
Do you have a marketing, communication plan or go-to-market strategy?*
-- Select Option --
Yes
No
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Operations Efficiency
Where do you operate from?*
-- Select Option --
Office Park
Home
Workshop
Industrial Park
Other
Rate your operational efficiency (1–5):*
1
2
3
4
5
Do you have Standard Operating Procedures (SOP) in place?*
-- Select Option --
Yes
No
Are your operational processes automated or manual?*
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Documents to be Attached
Max file size: 5MB
– Kindly upload files in
jpg, jpeg, png, gif or pdf
formats only.
Business Registration Certificate (CIPC)*
Directors’ ID Copy/s*
BBBEE Certificate / Affidavit*
Tax Clearance Pin*
Business Profile*
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