Trading Name

Company registration number (if registered)

If you selected "Other", specify your business Industry

Select Funding Program --Select-- SEFA Youth Challenge Fund Amavulandlela Funding Scheme NEF Women Empowerment Imbewu Fund Umnotho IDC AFD Green Energy Agri-Industrial Fund SMES and MIDACP Companies Gro-E-Youth Scheme Khoebo Innovation Promotion Program Green Tourism Incentive Programme

Type of Funding Required

Purpose of Funding

If you selected Other please specify

Have you developed a business plan for your organization? If yes, how frequently is it updated?

What level of financial modelling, planning and forecasting has your company undertaken in the last 12 months?

What is your company’s annual financial statement (AFS) and SARS compliance position?

How urgently do you require capital raising services, and what is your desired timeline for completing these initiatives?

Advisory service (if you selected Advisory Service) --Select-- Business plan Financial model or projections Funding and investment readiness Pitch deck or investment memorandum Business valuation Feasibility study Strategy and business growth Independent document review Other advisory support

Accounting Services (if you selected Accounting Service) --Select-- Monthly bookkeeping and accounting Management accounts and reports SARS and tax compliance Annual financial statements Payroll services Accounting record clean-up Budget and cash flow Internal accounting controls Other accounting support

Would you like to attach an existing document?

Do you know your current tax status? Compliant Not compliant Not sure

Do you have a Tax Compliance Status PIN?

Would you like to attach a SARS notice or tax-status document?

Date

Time

Pick Service --Select-- Mariva Accounting Services Mariva Advisory Services