233x Filetype XLS File size 0.28 MB Source: www.thedtic.gov.za
Sheet 1: Sheet1
i | |||||||||||||
HOW DID YOU FIND OUT ABOUT THE SCHEME? | |||||||||||||
Road show/Exhibition/Presentation | the dti Group | the dti Website | NAACAM | ||||||||||
the dti Regional Office | Private Sector Consultant | Network Facilitator | |||||||||||
Advertisement: TV, Radio, Print | the dti Customer Contact Centre | NAAMSA | |||||||||||
Please return completed forms by registed mail or by courier / hand delivery to: | |||||||||||||
Postal Address | Physical Address | Courier address | Web address | ||||||||||
www.thedti.gov.za | |||||||||||||
Private Bag X84 | 77 Meintjies Street | 1 Esselen Street (Ground Floor) | |||||||||||
Pretoria | Sunnyside | Shared Service Centre | Customer Contact Centre | ||||||||||
0001 | Pretoria | Sunnyside, Pretoria | 0861 843 384 +27(0)12 394 9500 |
||||||||||
0002 | 0002 | ||||||||||||
SECTION 1 | GENERAL INFORMATION | |||||||
1.1 SUPPORT APPLIED FOR | Component Manufacturer | Deemed Component Manufacturer | Tooling Company | |||||
Bus Body Manufacturer | Truck Body Manufacturer | |||||||
1.2 ASSISTANCE APPLIED FOR (Application Type) | ||||||||
New Component Manufacturer | Exisiting Component Manufacturer | |||||||
1.2 ASSISTANCE APPLIED FOR | ||||||||
Capital Investment | Competitiveness Improvement | |||||||
1.3 TOTAL INVESTMENT IN ASSETS(rand value) | Year 1 | Year 2 | Year 3 | TOTAL | ||||
1.4 LIST OF ADDITIONAL INFORMATION | ||||||||
- Incorporation documentation | ||||||||
- Documents that prove funding of the required project value and/ or Board approval for the project | ||||||||
- Business Plan (Overview of the entity and/or the project, detailed marketing, sales, production and cost benefit analysis) | ||||||||
- Audited annual financial statements for the last three years (where applicable) | ||||||||
- Letter of Intent / Purchase agreements | ||||||||
SECTION A | APPLICANT INFORMATION | |||||||
2. ENTITY TYPE | Close corporation | Other | ||||||
3. ITAC REGISTRATION CERTIFICATE | ||||||||
If Yes Certicate No | ||||||||
4. NAME OF APPLICANT | ||||||||
5.INCORPORATION NO | INCORPORATION DATE | |||||||
6. TRADING NAME | ||||||||
7. POSTAL ADDRESS | ||||||||
POSTAL CODE | ||||||||
8. CONTACT PERSON | ||||||||
Title | Mr | Prof | Sir | |||||
9. CONTACT DETAILS | (with area codes) | |||||||
Fax | e.g. +(0)12 394 1234 | |||||||
Mobile | e.g. +(0)83 394 1234 | |||||||
Work | e.g. +(0)12 394 1234 | |||||||
10. NAME OF CONSULTANT COMPANY | ||||||||
Name of contact person | ||||||||
Fax | e.g. +(0)12 394 1234 | |||||||
Mobile | e.g. +(0)83 394 1234 | |||||||
Work | e.g. +(0)12 394 1234 | |||||||
11. FINANCIAL YEAR-END | e.g. February | |||||||
12. ASSISTANCE ENJOYED UNDER THE FOLLOWING PROGRAMMES | ||||||||
PROGRAMME | APPROVED ENTITY NAME | APPROVED ENTITY NUMBER | PERIOD OF BENEFIT | |||||
Enterprise Investment Programme (EIP) | ||||||||
Small Medium Enterprise Development (SMEDP) | ||||||||
Production Asset Allowance (PAA) | ||||||||
Strategic investment project (SIP) | ||||||||
National Industrial Participation Programme | ||||||||
OTHER | ||||||||
13. TAX OFFICE | ||||||||
VAT Number | TAX Number | |||||||
TAX Clearance Certificate Number | TAX Clearance end date | |||||||
14. LITIGATION | Provide details of ongoing litigation | |||||||
15. BROAD-BASED BLACK ECONOMIC EMPOWERMENT BEE (For Statistical Use only) | Provide details of BEE scoring in terms of the B-BBEE Code of Good Practice | |||||||
Level 8 contributor (>/=30 < 40) | Level 5 contibutor (>/=55 < 65) | Non-compliant/not verified | ||||||
Level 7 contributor (>/=40 < 45) | Level 4 contibutor (>/=65 < 75) | BEE Score | ||||||
Level 6 contributor (>/=45 < 55) | Above level 4 contributor (>/=75) | |||||||
15.1: If not B-BBEE compliant (below level 4), please provide plans towards achieving B-BBEE compliance during the incentive period | ||||||||
SECTION A1 | INVESTMENT IN OTHER MANUFACTURING ENTERPRISES (where shareholding > 25%) | ||||||
16. ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.1 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.2 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.3 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.4 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.5 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.6 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.7 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.8 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.9 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
16.10 ENTERPRISE NAME | |||||||
INCORPORATION No. | INCORPORATION No. | ||||||
Please make copies of section A1 if more businesses must be indicated |
no reviews yet
Please Login to review.