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Application Form
We are looking for youth owned businesses specializing in ICT or geared towards technological integration, to join our transformational incubation program!
* Indicates required question
Full Name
*
Your answer
Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
ID Number
*
Your answer
Business Name
Your answer
Business Registration Number
*
Your answer
Type of Business
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Private Company
Close Corporation
Sole Proprietor
Not Registered
Other:
Description of Business
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Your answer
How long has the business been in operation?
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Your answer
Number of Employees
*
0 - 2
3 - 5
6 - 10
11 - 20
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