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EmpoweringHER 2025
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General Information
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Step
1
of 9
General Information
Where did you hear about the EmpoweringHER campaign?
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Social Media
Hollywood Foundation Website
Nomzamo Mbatha Lighthouse Foundation
Word of Mouth
Radio
Other
If other, please state where?
Are you currently on another ESD programme?
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Yes
No
If yes, what is the name of the programme you are part of?
Have you ever been accepted for another ESD programme?
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Yes
No
If yes, what was the name of this programme?
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Company Details
Registered Business Name
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Business Trading Name
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Name Of Contact Person
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First
Last
Email Address
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Contact Number
Business Registration Number
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VAT Registration Number
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Business Physical Address
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Job Title/ Position in the business
Give a brief description of your business, including major business milestones achieved to date
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*Nature of the business: List the core services your company provides.
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Size of the Company And Annual Turnover
What is the annual turnover for your business over the last 2 years? (Excl. VAT)
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Below R2 million
Above R2 million below R10 million
Above R10 million below R50 million
Above R50 million
How many staff members (employees) do you employ full time?
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How many staff members (employees) do you employ part time?
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How many of the above have joined your company in the last year full time?
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How many of the above have joined your company in the last year part time?
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Ownership Partner - 1
Name and surname
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First
Last
Contact Number
Position in the Company
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Member/ Owner
Director
Employee
Other
If Other please specify position
What is the number of years that you have been at your company?
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Race
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African
Indian
Coloured
White
Other
If Other please specify
Gender
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Female
Male
Qualification
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Ownership %
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% of time devoted to the business:
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Ownership Partner - 2
Name and surname
First
Last
Contact Number
Position in the Company
Member/ Owner
Director
Employee
Other
If Other please specify position
What is the number of years that you have been with your company?
Race
African
Indian
Coloured
White
Other
If Other please specify
Gender
Female
Male
Third Choice
Qualification
Ownership %
% of time devoted to the business
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Business Track Working Record Within The Last Two Years - Contact 1
Description of contract
Status
Prime
Sub Contract
Labour Only
Contact Person
Contact Number
Total value of contract
Your Business share
Number of employees working on contract Full Time
Number of employees working on contract Part Time
Expected date of completion
Business Track Working Record Within The Last Two Years - Contact 2
Description of contract
Status
Prime
Sub Contract
Labour Only
Contact Person
Contact Number
Total value of contract
Your Business share
Number of employees working on contract Full Time
Number of employees working on contract Part Time
Expected date of completion
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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?
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Motivation & Declaration by responsible official
Please write a brief motivation why should you be considered to participate in our Empowering Her Campaign 2025
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Business Requirements
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Checklist
My company profile
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Click or drag a file to this area to upload.
Business Proposal stating requirements of the business
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Click or drag a file to this area to upload.
Valid B-BBEE certificate/ EME/ QSE sworn affidavit as per the codes of good practice
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Click or drag a file to this area to upload.
Company registration documents
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Click or drag a file to this area to upload.
I hereby warrant that: The information provided herein is true and correct to the best of my knowledge. I understand that this declaration is binding on my conscience, and that any inaccuracy or misrepresentation of facts may void the registration of the business.
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Yes
No
I further consent to the processing of my/the business
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Yes
No
Submit