Nedbank Indalo Energy Resilience Application

General Information.

1. CIPC Registration number *

3. Date of birth *

5. Position in the enterprise *

7. Email *

9. Municipality *

2. Name and Surname *

4. Do you have any disabilities *

6. Contact Number *

8. Business Physical Address

10. Province *

11. Which sector does your enterprise fall under *

• Water
• Energy
• Agriculture
• Circular Economy/Waste Management

12. Previous participation in an Indalo Programme *

• Yes
• No

13. Which area are you operating in *

• Urban
• Peri-Urban
• Township
• Rural

14. Are you currently part of any enterprise development programme or incubation? *

• Yes
• No

15. Previous cash prizes or grants in the past 12 months? *

Business model

1. Summary of business model *

2. What type of enterprise are you?

• Private company
• Enterprise Support Organisation (ESO)
• Not for Profit Organisation (NPO)

3. What products and services are you currently offering *

4. Revenue model *

5. How are you currently financing your enterprise *

6. Partnerships *

9. Annual profit *

12. Number of youth employed *

7. Annual revenue *

10. Monthly electricity costs *

13. Number of people with disabilities employed *

8. Annual operating costs *

11. Number of full-time employees *

14. Number of women employed *

Enterprise impact

Do your enterprise efforts or innovation contribute to reducing climate change? *

• Yes
• No

Does your enterprise keep and measure Green House Gas emissions? *

• Yes
• No

What are the quantifiable social targets for your enterprise? *

What are the quantifiable environmental targets for your enterprise? *

What are the quantifiable economic targets for your enterprise? *

How is your enterprise enabling gender equality and women’s participation? *

Explain how receiving the solar system will help your business and how much you will be able to pay. *

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