2020 Application Call-out. All Entrepreneurs. -- Application

This application is open to all qualifying entrepreneurs across all industries. Please share the application form link with as many entrepreneurs in your sector to increase the potential of your sector being selected for the 2020 calendar.

Personal details

Please complete all fields accurately.

* required

1. First name * ^required Must not be more than 30 characters {{30-first_name_167009669640.length}}/30

2. Last name * ^required Must not be more than 30 characters {{30-last_name_174601018260.length}}/30

3. Email address * ^required Email address not valid

[email protected]

Must not be more than 100 characters {{100-email_address_182192366880.length}}/100

4. Daytime contact number * ^required Must not be more than 10 characters {{10-daytime_contact_numb_189783715500.length}}/10

5. Age * ^required Only numbers (0-9) allowed

Must not be more than 5 characters {{5-age_197375064120.length}}/5

6. Gender * ^required Must not be more than 30 characters {{30-gender_204966412740.length}}/30

7. Country of birth? * ^required Must not be more than 50 characters {{50-country_of_birth_212557761360.length}}/50

8. Nationality * ^required Must not be more than 50 characters {{50-nationality__227740458600.length}}/50

9. Date of naturalisation, if you were not born a South African citizen?

10. Identity number Must not be more than 13 characters {{13-identity_number__242923155840.length}}/13

11. Passport number Must not be more than 20 characters {{20-passport_number_250514504460.length}}/20

Demographics

This information is for statistical information purposes only.

* required

12. Do you have a criminal record? If yes, please provide comment. * ^required

13. Have you attended a previous Investec CSI or En-novate global exposure trip? * ^required

Yes

14. How did you find out about the programme? * ^required Must not be more than 200 characters {{200-how_did_you_find_out_296062596180.length}}/200

15. What is your racial classification? * ^required

Black

White

Indian

Coloured

Asian

Other

16. If you selected "Other" in racial classification, please provide further detail

Business financial information

Please provide accurate information as all details are verified as part of due diligence for shortlisted applications. Incorrect or false information could lead to a decline in your application if not accurately stated when verified. All information is kept strictly confidential and for the purposes of this application only.

* required

31. How does your business make money? * ^required Must not be more than 350 characters {{350-how_does_your_busine_409932825480.length}}/350

32. What are the main revenue streams? * ^required Must not be more than 350 characters {{350-what_are_the_main_re_417524174100.length}}/350

33. Annual business turnover for the last financial year? * ^required Only numbers (0-9) allowed

Must not be more than 15 characters {{15-annual_business_turn_425115522720.length}}/15

34. Annual business profit for the last financial year? * ^required Only numbers (0-9) allowed

Must not be more than 15 characters {{15-annual_business_prof_432706871340.length}}/15

* Please fill in all required fields

Disclaimer: Applications submitted are kept strictly confidential and used for the application review process only. Shortlisted applications are at the sole discretion of Investec. Outcomes of your application will be provided once the application date has closed and all applications are reviewed. Please ensure that the data you provide is true and accurate to ensure that your application is valid.

Application Form