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Mpumalanga Bambelela Business Awards Form 2024

GENERAL INFORMATION

Where did you hear about the Bambelela Business Awards *

Specify

Are you currently on another ESD programme? *

Have you ever been accepted for another ESD programme?

Have you previously benefited from Hollywoodbets/Foundation? *

SECTION A. COMPANY DETAILS

Registered Business Name

Business Trading Name

Name of Contact Person

Email Address *

Contact Number *

Business Registration Number

VAT Registration Number

Business Physical Address *

Province Business is Located *

Job Title/ Position in the business

Give a brief description of your business, including major business milestones achieved to date (Max 250 characters) *

Nature of the business: List the core services your company provides. *

Section B. Size of the company - Annual Turnover

What is the annual turnover for your business over the last 3 years? (Excl. VAT)

Below R5 million
Above R5 million below R10 million
Above R10 million below R50 million
Above R50 million

How many staff members (employees) do you employ?

Full Time

Part Time

How many of the above have joined your company in the last year

Full Time

Part Time

How many of the above have joined your company in the last year

Full Time

Part Time

Section C. Ownership

Partner 1

Name *

First

Last

Phone *

Position in the company

Other

Number of years with your company

Race

Gender

Qualification

Ownership %

% Time devoted to the business

Partner 2

Name *

First

Last

Phone *

Position in the company

Other

Number of years with your company

Race

Gender

Qualification

Ownership %

% Time devoted to the business

Partner 3

Name

First

Last

Phone

Other

Number of years with your company

Race

Gender

Qualification

Ownership %

% Time devoted to the business

Section D Business Track Working Record

Contract 1

Description of contract

Status (Prime/Sub/Labour only)

Contract Person

Contract Number

Total value of contract

Your business' share

Number of employees working on contract

Fulltime/Part Time

Expected date of completion

Contract 2

Description of contract

Status (prime/sub/labour only)

Contract Person

Contract Number

Total value of contract

Your business share

Number of employees working on contract

Fulltime/Part Time

Expected date of completion

Contract 3

Description of contract

Status (prime/sub/labour only)

Contract Person

Contract Number

Total value of contract

Your business share

Number of employees working on contract

Fulltime/Part Time

Expected date of completion

Selection Criteria

Community Impact: If successful, can the proposed project create economic opportunity in the area, and make a difference in the lives of underserved populations?

Innovation: Does the project present unexpected solutions to the target population’s needs?

Feasibility: Is the project plan well thought-out, and the team well-equipped to execute on it?

Creativity: what makes your business unique?

SECTION E: MOTIVATION AND DECLARATION BY RESPONSIBLE OFFICIAL

Please write a brief motivation why should you be considered to participate in our Enterprise and Supplier Development Exhibition/Pitch.

Business Requirements

*Please indicate whether the entry is for Pitching or Exhibition *

CHECKLISTS

My company profile