{call_header} {assign var="actionReturn" value=$obj->actionReturn} {literal} {/literal}
{if $actionReturn.fid eq 1}
{if $actionReturn.data.benefit_fin==1} {/if} {if $actionReturn.data.benefit==1} {/if} {if $actionReturn.data.awards==1} {/if} {if $actionReturn.data.business==1} {/if}
Application Profile Form
Business Sector {$actionReturn.data.sector}
Company registration number {$actionReturn.data.reg_no}
Details of shareholders(% share)
Name {if $actionReturn.data.name1!=""} {$actionReturn.data.name1} {else} - {/if}
Name {if $actionReturn.data.name2!=""} {$actionReturn.data.name2} {else} - {/if}
Name {if $actionReturn.data.name3!=""} {$actionReturn.data.name3} {else} - {/if}
Membership{$actionReturn.data.membership_check}
Other
APPLICANT COMPANY’S DETAILS
Name (First Name & Surname) {if $actionReturn.data.applicant_name!=""} {$actionReturn.data.applicant_name} {else} - {/if}
Age {if $actionReturn.data.applicant_age!=""} {$actionReturn.data.applicant_age} {else} - {/if}
Nationality {if $actionReturn.data.applicant_nat!=""} {$actionReturn.data.applicant_nat} {else} - {/if}
Name of Business {if $actionReturn.data.business_name!=""} {$actionReturn.data.business_name} {else} - {/if}
Contact Details:
Mobile # {if $actionReturn.data.mobile_no!=""} {$actionReturn.data.mobile_no} {else} - {/if}
Landline # {if $actionReturn.data.land_no!=""} {$actionReturn.data.land_no} {else} - {/if}
Facsimile # {if $actionReturn.data.Facsimile!=""} {$actionReturn.data.Facsimile} {else} - {/if}
Email Address {if $actionReturn.data.email_addr!=""} {$actionReturn.data.email_addr} {else} - {/if}
Physical Address {if $actionReturn.data.physical_addr!=""} {$actionReturn.data.physical_addr} {else} - {/if}
Postal Address {if $actionReturn.data.postal_addr!=""} {$actionReturn.data.postal_addr} {else} - {/if}
Educational background
Education ( highest level of education attained ) {if $actionReturn.data.education_level!=""} {$actionReturn.data.education_level} {else} - {/if}
Vocational training and qualification {if $actionReturn.data.vocational_level!=""} {$actionReturn.data.vocational_level} {else} - {/if}
FINANCIAL
Who is your business banker?
Has your company ever benefited from a finance facility e.g. bank loan, overdraft etc. {if $actionReturn.data.benefit_fin==0} No {else} Yes {/if}
if yes,What type? {if $actionReturn.data.benefited_finance!=""} {$actionReturn.data.benefited_finance} {else} - {/if}
When? {if $actionReturn.data.benefited_finance_details!=""} {$actionReturn.data.benefited_finance_details} {else} - {/if}
Amount {if $actionReturn.data.benefited_finance_amt!=""} {$actionReturn.data.benefited_finance_amt} {else} - {/if}
Financing Institution? {if $actionReturn.data.benefited_finance_cmpny!=""} {$actionReturn.data.benefited_finance_cmpny} {else} - {/if}
Were your business needs satisfied? If no, indicate why? {if $actionReturn.data.business_satisfication!=""} {$actionReturn.data.business_satisfication} {else} - {/if}
Has your company ever benefitted from any developmental program by Government e.g. Local Procurement Program (LPP), or other interventions {if $actionReturn.data.benefit==0} No {else} Yes {/if}
If yes, what type? {if $actionReturn.data.gov_benefit_type!=""} {$actionReturn.data.gov_benefit_type} {else} - {/if}
when ? {if $actionReturn.data.gov_benefit_time!=""} {$actionReturn.data.gov_benefit_time} {else} - {/if}
Amount? {if $actionReturn.data.gov_benefit_amount!=""} {$actionReturn.data.gov_benefit_amount} {else} - {/if}
Developmental Institution? {if $actionReturn.data.develop_institution!=""} {$actionReturn.data.develop_institution} {else} - {/if}
What is your annual turnover? {if $actionReturn.data.annual_turnover!=""} {$actionReturn.data.annual_turnover} {else} - {/if}
Net Assets Value i.e. Assets less Liabilities {if $actionReturn.data.net_asset_value!=""} {$actionReturn.data.net_asset_value} {else} - {/if}
Financial Year End {if $actionReturn.data.year_end!=""} {$actionReturn.data.year_end} {else} - {/if}
What are your profit margins (both gross and net)? {if $actionReturn.data.profit_margins!=""} {$actionReturn.data.profit_margins} {else} - {/if}
Have your financials ever been audited? {if $actionReturn.data.financials_audit!=""} {$actionReturn.data.financials_audit} {else} - {/if}
Have you personally financed the business? {if $actionReturn.data.personally_financed!=""} {$actionReturn.data.personally_financed} {else} - {/if}
Are you facing any other challenges in this segment? {if $actionReturn.data.challenges!=""} {$actionReturn.data.challenges} {else} - {/if}
What is the range of your products? {if $actionReturn.data.range!=""} {$actionReturn.data.range} {else} - {/if}
What proportion or % of your raw materials is available locally? Elaborate {if $actionReturn.data.materials_available!=""} {$actionReturn.data.materials_available} {else} - {/if}
Have any of your products been quality certified? If yes, elaborate
What is your current production capacity and what would it take to move closer to 100% capacity?
If currently operating below full capacity, give reasons
Any machines not in operation now? If yes, give details and estimated repairs costs
Are you facing any other challenges in this segment?
MARKET, COMPETITION & COMPANY BRAND
Who is your target market?
Do you export?If no, why not?
If yes, where to and why?
What market are you trying to penetrate?
What problems do you face in this?
Why are you facing these problems?
What can be done to solve these problems?
Have you identified any gaps in the market or new markets? Elaborate
What is your competitive advantage? What do you do differently or better from others?
Are you a well-known brand? If yes, give evidence / elaborate
How do target customers get to know about your business?
Have you ever won any awards, whether personally or for the business? {if $actionReturn.data.awards==0} No {else} Yes {/if}
if yes,Where?
Description of award?
Awarding institution?
Award benefits?
Are you aware of your competitor?
Do you have any comparisons with your competitors?
Are you facing any other challenges in marketing and selling?
HUMAN RESOURCES
Staff complement i.e. how many staff members do you have including yourself?
Are you are full time engaged?
Break down staff complement into Citizens
Non-citizens
Organizational structure
Owner
Director/ CEO
Supervisory/ Management
Finance/ accounts
Administration
Technical
Manual/ Clerical(provide a copy of structure ) Yes  No
Staff turnover rate
How long have you had your longest serving employee?
How long does staff stay on average?
Do you struggle with finding skilled staff?
If yes What is the reason
Have you ever done a ‘skills gap analysis’? If yes, what are the identified skills gaps at your business?
Are you facing any other challenges in staff and HR and skills?
SUSTAINABILITY
Do you have business risk management plan? If so what is it?
Where do you see your business to be in the next 5 years?
What are your business risks? List them
What do you intend to do in order to alleviate your business risks?
What is your succession plan?
Are you involved in any other business? {if $actionReturn.data.business==0} No {else} Yes {/if}
Name of business(if yes)
Business sector
Location
How long in operation
Your % shareholding
Type of Capacity Building needed to perform your business What type of assistance to you require?
Please provide any other additional information useful for assessing your company
{elseif $actionReturn.fid eq 2}
BOCCIM SMME Questionnaire
COMPANY / INDIVIDUAL INFORMATION
Name of Company
Name of Representative
Email address
Gender Male   Female
TRAINING INFORMATION
Course / Workshop/ Event Attended
Date
Duration of event
EVALUATION OF THE TRAINING
QUESTIONS
1. Why did you participate in the event? Were the event’s objectives met?
2. Did you acquire new knowledge or skills?
3. Will you apply skills learnt in your company
4. How many employees will benefit from your training
5. Was the quality of the training and trainee good, average or poor?
Total Points(out of 25)
{elseif $actionReturn.fid eq 3}
BOCCIM AGGREGATE SMME Training Questionnaire
COMPANY/INDIVIDUAL INFORMATION
How many new companies were added to the database?
How many women participated in the event?
How many men participated in the event?
Total number of individuals trained?
TRAINING INFORMATION
Course / Workshop / Event
Date
Duration of event
EVALUATION OF THE TRAINING
QUESTIONS AGGREGATE SCORE
1. Why did you participate in the event? Were the event’s objectives met?
2. Did you acquire new knowledge or skills?
3. Will you apply skills learnt in your company
4. How many employees will benefit from your training
5. Was the quality of the training and trainee good, average or poor?
Total Points
{elseif $actionReturn.fid eq 4} {literal} {/literal}
EXPERT CV FORM
Proposed role in the project:
Family name:
First names:
Date of birth:
Nationality:
Civil status:
Education:
Institution: [Date from – Date to]Degree(s) or Diploma(s) obtained:
Language skills: (Indicate competence on a scale of 1 to 5) (1 – excellent; 5 – basic)
Language Reading Speaking Writing
Membership of professional bodies:
Other skills:
Present position:
Years of experience:
Key qualifications
Specific experience in the region:
CountryDate from - Date to
Professional experience:
Date from – Date to Location of assignment Company& reference person (name & contact details) Position Description
Other relevant information:
{elseif $actionReturn.fid eq 5}
IO AND BDSP PAGE
Name of Organisation:
Address
Postal Address:
Physical Address:
Web Page and Link to Annual Report:
Email
Phone
Cell
Social Media Contacts
Vision
Mission
Values
Main Services Offered
Summary of Important Background
Basic Profile of Members / Clients
Achievements
Contributions to PSDP Completed and Proposed
Assistance Sought and received from PSDP
Any Other Relevant Information
{elseif $actionReturn.fid eq 6}
{if $actionReturn.data.benefit_fin==1} {/if} {if $actionReturn.data.business==1} {/if}
PSDP MICRO CBO APPLICATION FORM
Business Sector
{$actionReturn.data.sector}
Company registration number
Details of shareholders(% share)
Name
Name
Name
Membership
{if $actionReturn.data.membership_check!=""} {$actionReturn.data.membership_check} {else} - {/if}
Other (please specify)
COMPANY APPLICANT’S CONTACT DETAILS
Name (First Name & Surname)
Age
Nationality
Name of Business
Contact Details:
Mobile #
Landline #
Facsimile #
Email Address
Physical Address
Postal Address
FINANCIAL
Who is your business banker?
Has your company ever benefited from a finance facility e.g. bank loan, overdraft etc. {if $actionReturn.data.benefit_fin==1} Yes {else} No {/if}
if yes,What type?
When?
Amount
Financing Institution?
Were your business needs satisfied? If no, indicate why?
What is your annual turnover?
Net Assets Value i.e. Assets less Liabilities
Financial Year End
Last set of financial statements available?(provide a copy) {if $actionReturn.data.last_fin==1} Yes {else} No {/if}
What are your profit margins (both gross and net)?
Have your financials ever been audited?
Have you personally financed the business?
Are you facing any other challenges in this segment?
What is the range of your products?
What proportion or % of your raw materials is available locally? Elaborate
Have any of your products been quality certified? If yes, elaborate
What is your current production capacity and what would it take to move closer to 100% capacity?
If currently operating below full capacity, give reasons
Any machines not in operation now? If yes, give details and estimated repairs costs
Are you facing any other challenges in this segment?
MARKET, COMPETITION & COMPANY BRAND
Who is your target market?
What problems do you face in penetrating this market?
Why are you facing these problems?
What can be done to solve these problems?
What do you do differently or better from others?
How do target customers get to know about your business?
Are you aware of your competitor?
Do you have any comparisons with your competitors?
Are you facing any other challenges in marketing and selling?
HUMAN RESOURCES
how many staff members do you have including yourself?
Are you are full time engaged?
Break down staff complement into Citizens
Non-citizens
How long have you had your longest serving employee?
How long does staff stay on average?
Do you struggle with finding skilled staff?
If yes What is the reason
Are you facing any other challenges in staff and HR and skills?
SUSTAINABILITY
Where do you see your business to be in the next 5 years?
What are your business risks? List them
What do you intend to do in order to alleviate your business risks?
What is your succession plan?
Are you involved in any other business? {if $actionReturn.data.business==1} Yes {else} No {/if}
Name of business(if yes)
Business sector
Location
How long in operation
Your % shareholding
What type of assistance to you require?
Please provide any other additional information useful for assessing your company
{elseif $actionReturn.fid eq 7}
{if $actionReturn.data.benefit_fin==1} {/if} {if $actionReturn.data.benefitted==1} {/if} {if $actionReturn.data.business==1} {/if}
WED Application Form
PROGRAM REQUIREMENT
Business Sector
{$actionReturn.data.sector}
Company registration number
% of shares held by female business owner (s) (min 51%)
Details of other shareholders
Name
Gender Male Female
% share
Membership
{$actionReturn.data.membership_check}
Annual Turnover (up to P300 000) OR / AND
Assets ( up to P100 000)
APPLICANT’S DETAILS
Applicant’s Name (First Name & Surname)
Age
Nationality
Name of Business
Contact Details:
Mobile #
Landline #
Facsimile #
Email Address
Physical Address
Postal Address
Educational background
Education ( highest level of education attained )
Vocational training and qualification
FINANCIAL
Who do you currently bank with? i.e. who is your business banker?
Have you ever benefited from a finance facility e.g. bank loan, overdraft etc Yes  No
if yes,What type?
When?
Amount
Financing Institution?
Did your business needs satisfied? If no, indicate why?
Have you ever benefitted from any developmental program by Government e.g. Financial Assistance Policy (FAP), Local Procurement Program (LPP), LEA ? Yes No
If yes, what type?
When?
Amount?
Developmental Institution?
Were your business needs satisfied? If no, indicate why?
What is your annual turnover?
Net Assets Value i.e. Assets less Liabilities
Financial Year End
Last set of financial statements available?(provide a copy) Yes  No
What are your profit margins (both gross and net)?
Have your financials ever been audited?
Have you personally financed the business?
Are you facing any other challenges in this segment?
What is the range of your products?
What proportion or % of your raw materials is available locally? Elaborate
Have any of your products been quality certified? If yes, elaborate
What is your current production capacity and what would it take to move closer to 100% capacity?
If currently operating below full capacity, give reasons
Any machines not in operation now? If yes, give details and estimated repairs costs
Are you facing any other challenges in this segment?
MARKET, COMPETITION & COMPANY BRAND
Who is your target market?
Do you export?
If no, why not?
If yes, where to and why?
What problems do you face in penetrating this market?
Why are you facing these problems?
What can be done to solve these problems?
Have you identified any gaps in the market or new markets? Elaborate
What is your competitive advantage? What do you do differently or better from others?
Are you a well known brand? If yes, give evidence / elaborate
How do target customers get to know about your business?
Have you ever won any awards, whether personally or for the business?
If yes,Where?
Description of award?
Awarding institution?
Award benefits?
Are you aware of your competitor?
Do you have any comparisons with your competitors?
Are you facing any other challenges in marketing and selling?
HUMAN RESOURCES
Staff complement i.e. how many staff members do you have including yourself ?
Are you are full time engaged?
Break down staff complement into Citizens
Non-citizens
Organizational structure
Owner
Director/ CEO
Supervisory/ Management
Finance/ accounts
Administration
Technical
Manual/ Clerical(provide a copy of structure ) Yes No
Staff turnover rate ,How long have you had your longest serving employee?
How long does staff stay on average?
Do you struggle with finding skilled staff?
If yes What is the reason
Have you ever done a ‘skills gap analysis’? If yes, what are the identified skills gaps at your business?
Are you facing any other challenges in staff and HR and skills?
Where do you see your business to be in the next 5 years?
What are your business risks? List them
What do you intend to do in order to alleviate your business risks?
What is your succession plan?
Are you involved in any other business? Yes   No
Name of business(if yes)
Business sector
Location
How long in operation
Your % shareholding
Type of Capacity Building needed to perform your business ,What type of assistance to you require?
Please provide any other additional information useful for assessing your company
{/if} {if $f.document_path!=""} More {/if}
{call_footer}