Page 1 of 6
Version 2015:2
Initial……………..
Postal Address Physical Address Contact Details
Private Bag x424 Tourism House Call Centre: 0860 121 929
Pretoria 17 Trevenna Street Switch board: (+27) 12 444 6000
0001 Sunnyside, 0002 Web: www.tourism.gov.za
INTERNATIONAL MARKET ACCESS SUPPORT PROGRAMME APPLICATION FORM
Name of Exhibition or Roadshow
NOTES
A. Please ensure that you
have read and
understood the
guidelines for the
assistance you are
applying for.
B. Please ensure that you
have read and
answered all questions
in the application form.
C. Only electronically filled
applications will be
accepted.
D. It is important that you
provide us with the
correct and complete
information to ensure
that your application is
processed timeously.
E. All applications should
be signed by a duly
authorised
representative of the
business
F. Please remember to
initial each page.
G. All applications should
be dated and submitted
to the National
Department of Tourism
before or on the closing
date.
H. Please ensure that you
have attached all the
required documents.
I. Please note all
information provided
will be subjected to a
verification process and
security vetting may be
conducted where
required.
J. Please note that should
you use any application
form other than the one
provided by the
National Department of
Tourism (NDT), your
application will not be
considered.
Check List
Attached (for
applicant)
1. Copy of Certificate of Incorporation.
2.
Copy of valid tax clearance certificate.
3.
Copy of a B-BBEE level compliance certificate.
4. Proof of public liability cover i.e. letter from insurance
provider, etc.
5. Proof of turnover category i.e. letter from
auditor/a
ccoun
ting officer
6.
Copy of the proposed traveller passport.
7.
Comprehensive company profile outlining the entities
products and services, including motivation.
Page 2 of 6
Version 2015:2
Initial……………..
1. DETAILS OF APPLYING BUSINESS
1.1. Regi
stered Name of the Busin
e
ss
1.2. Regi
stered Trading
Name
of the Business
1.3. Business Registration Type
1.3.1. If Other, specify:
1.4. Business Registration Number
1.5. Income Tax Number
1.6. Business Ownership Structure
(please attach separate sheet should more space be required)
Nameofowner/director/etc. IDNumber Race (Black,
Coloured,
White,
Indian,
other)
Gender
(M/F)
Living
with
disability
(Yes/No)
owners
under
theage
of35
Percentageof
Shareholding
(%)
1.7. Postal Address of Registered Business
……………………………………………………
……………………………………………………
…………………………………………….........
Province ………………………………………..
Code ………………………………..
1.8. Physical Address of Registered Business
………………………………………………………
………………………………………………………
District ……………………………………………
Province …………………………………………...
Code …………………………………………..
1.9. Conta
ct Person
1.9.1. Title
1.9.2. Position
1.9.2. Work Telephone 1.9.3. Cell Phone
1.9.4. E-Mail Address
Select
Select
Select
Select
Select
0.00
Select
Select
0.00
Select
Select
Select
Select
0.00
Select
Select
Select
Select
0.00
Select
Select
Select
Select
0.00
Eastern Cape
Mr
Page 3 of 6
Version 2015:2
Initial……………..
2. OPERATIONAL DETAILS OF THE APPLYING BUSINESS
2.1. Tourism Sub – Sector?
Accommodation Please specify accommodation type
Tour operator services
Travel Agent
Attraction, Recreation and
Entertainment services
Meetings, Exhibition
and Special Events
Other (please specify)
2.2. Brief description (not more than 100 words) of products or services offered?
2.3. Average number of clients/tourists served annually?
2.4. Please indicate the business percentage split between domestic and international clients/tourists?
2.4.1. International % 2.4.2. Domestic %
2.5. Please indicate your business’s turnover category for the past three years:
2.5.1. Turnover category year one (recent)
2.5.2. Turnover category year two (past)
2.5.3. Turnover category year three (previous)
2.6. What is your business B-BBEE compliance level?
2.7. Is the business insured for public liability?
2.8. Is the business graded by the Tourism Grading Council of South Africa?
(if yes, how many stars?)
2.9. Is the business registered as a TOMSA Contributor?
If yes, please provide membership code number
Select
R 0 - 2 500 000
R 0 - 2 500 000
R 0 - 2 500 000
None
No
No
5 Stars
No
Page 4 of 6
Version 2015:2
Initial……………..
2.11. Is the business a member of the TBCSA affiliated association?
(if yes, please list below)
2.12. Is
the bus
iness
a member of any
other Non - TBCSA affiliated association?
(if yes, please list below)
2.13. Is the business a member of the Tourism Enterprise Partnership?
2.14. Total number of permanent employees?
(Please specify numbers)
2.15. Total number of part time/temporary employees?
(Please specify numbers)
Race
Gender
Male
Female
Total
Black
White
Couloured
Indian
Other
Total
2.16. Total number of employees living with disability?
2.10. Please indicate previous financial assistance offered during the last three years (3) years?
No
Afrikaanse Handelsinstituut
No
Yes
Page 5 of 6
Version 2015:2
Initial……………..
3. MOTIVATION FOR SUPPORT
3.1. Can you please provide us with a motivation why your company should be supported for this particular
roadshow or exhibition? In your motivation please highlight your product/service offering relevance, target
market, marketing initiatives undertaken to reach particular market.
3.2. Have you participated at any international tourism exhibition or roadshow in the past five (
5) years?(ifyes,
pleaseindicatetheboxbelow)
3.3. Have you exhibited at any domestic tourism exhibition or roadshow in the past five (5) years?
(ifyes,please
indicateintheboxbelow)
No
Yes
Page 6 of 6
Version 2015:2
4.
DETAILS OF PROPOSED TRAVELLER
4.1. Name of proposed traveller
4.2. Title 4.3. Position
4.4. Work Telephone
4.5. Cell Phone Number
4.6. E-Mail Address
4.7. Identity Number
5.
DECLARATION
I
…………………………………………
…………………………………….............................
in my capacity as
…………………………………………………………………………………………………….. Hereby declare that the
information in this application is a fair and true reflection (incl
. relevant attachments) of the applying business. I am
aware of the fact that the information submitted above (incl. attachments) will have a material bearing on the
adjudication of the application. Therefore should it appear that any information in the application was not correct or
omitted, the adjudication committee shall be entitled to withdraw or amend its decision and without prejudice to its
rights, to recover any amounts already paid or to withhold further payments due. Should my application be
successful, I further undertake to furnish follow-up reports on the successes achieved by the trip no later than one
(1) month after my return and upon the request by the department further on.
Signature ……………………………………….. Date ………………………………………….
Please print the completed form, initial each page and sign. Completed forms are to be scanned and emailed/
couried/hand delivered to the Department of Tourism.
Rev
Chrome Web Store
It looks like you haven't installed the Fill Chrome Extension Add to Chrome