INCUBATOR APPLICATION Step 1 of 3 - About yourself 33% Organisation Name First Last Email* Cell-phone*Website URL City*BritsCape TownCullinanDurbanEast LondonJohannesburgKurumanPolokwanePretoriaSasolburgWitbankOther Stage*Startup/new (trading)EstablishedAnnual Turnover*N/A< R 100 000< R 500 000< R 1 million< R 2 million> R 2 millionIf you are seeking funding, what R is required?< R 100 000< R 250 000< R 500 000< R 1 million< R 2 million< R 5 million> R 5 millionWhat is the maximum capital you can contribute to the business? Briefly describe your idea or existing business*Do you have an accountant?* Yes No (managing finances yourself) No (not been managing finances) Which bank does your business use?* ABSA Albaraka Bank Capitec First National Bank Nedbank Standard Bank Sasfin Bank HiddenWhy are you interested in joining the Chart Your Path Incubator?*HiddenWhat R are you willing to contribute each month for the benefits of the incubator? R 0 R 100 R 300 R 500 R 1 000 R 2 000 R 5 000 R 10 000 R 20 000 Business profile (if available)Max. file size: 20 MB.Business plan (if available)Max. file size: 20 MB.
