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 $actionReturn.data.benefit_fin==1}
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}
|
{/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 $actionReturn.data.benefit==1}
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}
|
{/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?
|
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If currently operating below full capacity, give reasons
|
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Any machines not in operation now? If yes, give details and estimated repairs costs
|
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Are you facing any other challenges in this segment?
|
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MARKET, COMPETITION & COMPANY BRAND |
Who is your target market? |
|
Do you export?If no, why not?
|
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If yes, where to and why?
|
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What market are you trying to penetrate?
|
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What problems do you face in this?
|
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Why are you facing these problems?
|
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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 $actionReturn.data.awards==1}
if yes,Where? |
|
Description of award? |
|
Awarding institution? |
|
Award benefits? |
|
{/if}
Are you aware of your competitor? |
|
Do you have any comparisons with your competitors? |
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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}
|
{if $actionReturn.data.business==1}
Name of business(if yes) |
|
Business sector |
|
Location |
|
How long in operation |
|
Your % shareholding |
|
{/if}
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 |
|