Application

Company Name

Company Registration Number

Time in Operation

Current Number of Employees

Website (If Applicable)

Physical Address

Postal Code

Do you have a business plan?

Yes

Does your company have Tax clearance?

Yes

How Much have you Invested into the company?

Have you raised any funding for your company?

Yes

Do you have any pending funding appliations?

Yes

Describe your market in terms of size, geographic location and demographics

What problem does your service/product solve?

List any of your competitors

How will your product compare to that of your competitors i.e. cost, usefulness, technologies/innovations used, time to market, accesability?

What skills do you currently have to operate your business?

What Skills do you require to operate/improve your business?

Describe why you think your business will be successfull (Max 250 words)

Full Name of Applicant

Contact Number

Physical Address

Province

Postal Code