THE NEF APPLICATION FORM
R500 000 - R10 million
Name *BEE/Non-BEE Male/Female Contribution
Shareholding %
(Pre-NEF funding)
Shareholding %
(Post-NEF funding)
TOTAL
D D M M Y Y Y Y
R500 000 - R10 million
BEE PARTICIPATION IN: Current Future
Shareholding/ownership (%)
Management (%)
BEE Non-BEE
Details Male Female Total Male Female Total Grand Totals
Senior Management
Non-Managerial Staff
Temporary Staff
Grand Totals
BEE Non-BEE
BEE Non-BEE
BEE Non-BEE
BEE Non-BEE
DOCUMENT AND INFORMATION CHECKLIST
Please provide us with the applicable documents as outlined below;
Existing
Business
Start-up
Business
1
Application form and Business plan
2
Affidavit from members or directors that they are aware of the contents of the application
form
3
Three (3) year audited financials (Income Statement, Balance Sheet, Cash Flow Statement)
4
Five (5) year financial projections (Income Statement, Balance Sheet and monthly
Cash Flow Statement) with first year prepared on a monthly basis
5
Recent management accounts (Income Statement and Balance Sheet)
6
Personal Statements of Assets and Liabilities of all the members or directors
including those of spouses if person is married in Community of Property
7
8
Certified ID copies of all members or directors
9
Registration Documents and all the relevant legal documents relevant to the entity
10
11
Purchase Orders/Supplier Contracts
12
13
CAPEX and Working Capital Supplier Invoices
Fica compliance - Proof of residence
Detailed CV of principle Applicant
Valid Tax Clearance Certificate
Valid B-BBEE Certificate/Affidavit
AN APPLICATION WILL BE REJECTED IF YOU DO NOT SUBMIT ALL THE DOCUMENTS AS PER THE ABOVE LIST
AND GUIDELINES.
PROVIDE ALL OTHER DOCUMENTS RELEVANT TO YOUR BUSINESS NOT LISTED ABOVE.
OUR APPLICATION PROCESS IS APPROXIMATELY 7 WORKING DAYS FROM THE RECEIPT OF THE APPLICATION
UP TO DISBURSEMENT STAGE.
PLEASE NOTE THAT THIS SECTION ONLY PROVIDES GUIDELINES TO ASSIST YOU WITH THE COMPILATION OF THE
REQUIRED INFORMATION, TOGETHER WITH THE LIST OF PRIORITISED SECTORS IN THE GOVERNMENT'S
ATTEMPTS TO SUCCESSFULLY COMBAT THE SPREAD OF COVID19.
1 Executive Summary
2 Purpose of required funding
3 Products and Services
4 Target Market Analysis
5 Supplier Analysis
6 Operational Analysis
7 Management and Human Resources
8 Socio-Economic Benefits
9 Financial/Cash Flow Analysis
IDENTIFIED PRIORITY SECTORS
Medical Gloves and Accredited Masks.
Bulk supplies of disinfectants, sanitizers (hand and industrial) and wipes.
Nebulisers and nebulising agents.
Ventilators and filters.
Disposable visors, googles, gowns and aprons.
Packaging (bottles, caps, pumps, sachets etc).
Drugs proven to combat the coronavirus.
Digital Body Thermometer.
Powered Air purifying respirator (PAPR).
Sanitary pads, toilet and tissues paper.
Manufacturing of hospital beds.
Manufacturing of oxygen .
Related chemicals
Page
5
National Empowerment Fund Trust (established by Act 105 of 1998) IT: 10145/00.
A member of
the dti
group | www.nefcorp.co.za
STOP Fraud, Corruption and Theft
Contact Tip-Offs Anonymous on 0800 212 705 or email nef@tip-offs.com
If you suspect any irregularity in the application process
Northern Cape
KwaZulu-NatalFree State
Gauteng
Western Cape
Eastern Cape
Limpopo
Mpumalanga
North West
CONTACT DETAILS
Email address: covidfund@nefcorp.co.za
Telephone: 011 305-8080
Website: www.nefcorp.co.za
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