Your address will show here
+12 34 56 78
email@example.com
HOME
HOME
ABOUT US
ABOUT US
WHO WE ARE
OUR STRUCTURE
OUR FOCUS AREAS
SUCCESS STORIES
ESD
ESD
RETAIL
RETAIL
LOANS
LOANS
ECD
MPATHY
SMME
CONTACT US
CONTACT US
HOME
HOME
ABOUT US
ABOUT US
WHO WE ARE
OUR STRUCTURE
OUR FOCUS AREAS
SUCCESS STORIES
ESD
ESD
RETAIL
RETAIL
LOANS
LOANS
ECD
MPATHY
SMME
CONTACT US
CONTACT US
SMME APPLICATION FORM
TOWNSHIP FLEVA SMME APPLICATION FORM
Step
1
of
3
33%
Personal Information
Name
First
Surname
Race
Black
White
Coloured
Indian
Other
Gender
Male
Female
Prefer not to say
Email Address
Enter Email
Confirm Email
Contact number
Business Information
Name of Business
Company registration number
Where is you business based?
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Business Physical Address
City
State / Province / Region
ZIP / Postal Code
How long have you been running this business?
New Business
1-2 years
3-5 years
Over 5 years
Over 10 years
Industry
Agriculture
Construction
Manufacturing
Food & Beverage
Technology
Retail
Transport
Distribution
Trade
Entertainment & Media
Hospitality
E-commerce
Fashion
Hair & Beauty
Healthcare
Financial Services
Telecommunications
Energy
Forestry
Marketing
Do you have other businesses?
Yes
No
Supporting Documents
Declaration:
(Required)
I confirm that the information I am proving below is accurate and that I will be able to provide supporting documents when requested.
Loan Amount Requested:
Please upload the following documents to complete your loan application:
CK documents / PTY / Co-operative registration documents by CIPC
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Tax Clearance Certificate
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
BBBEE Certificate
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Certified Copy of the Identity Document(s)
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Proof of Residence (Municipal Account or Letter from Ward Councillor)
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Company Profile
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Business Plan with 3 year projections
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Financials statements – (with 6 month bank statements)
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
Two (2) quotations from traceable suppliers
(Required)
Drop files here or
Select files
Accepted file types: pdf, Max. file size: 50 MB.
CHECKLIST
Documents/Information required (Tick if provided)
Completed application form (this form)
CK documents / PTY / Co-operative registration documents by CIPC
Tax Clearance Certificate
BBBEE Certificate
Certified Copy of the Identity Document(s)
Proof of Residence (Municipal Account or Letter from Ward Councillor)
Company Profile
Business Plan with 3 year projections – new venture
Financials statements – with 6 month bank statements) for existing businesses
Two (2) quotations from traceable suppliers
Please provide your business’ website, fb, Linkedin or any similar url (not mandatory)
Website:
Facebook
LinkedIn
Other
Do you give consent for Township Fleva to store, process and verify the information provided for the purpose of processing your loan application?
Yes
No
