FacebookThis field is for validation purposes and should be left unchanged.This field is hidden when viewing the formFinance Category cultivar training support Section ADo you have all your supporting documentation ready?(Required) Yes, will submit documents now. No, will submit documents at a later stage. Contact Email Address(Required) Enter Email Confirm Email PUC NumberOperating Business NameType of Legal EntitySole ProprietorClose CorporationPartnershipProprietary Limited CompanyPublic CompanyFranchiseLegal Entity Registration NumberPostal Address Street Address City Province Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Does the business have access to land? Yes No Ownership Owner Lease Other Ownership (Other)Explain if ownership or lease is not in operating business nameFarm NameFarm Number (According to Title Deed)ProvinceEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapeDistrict MunicipalityLocal MunicipalityFarm GPS Coordinates South East Indicate if the business has any ethical trade certification Global GASP SIZA Fairtrade Other Ethical trade certification (Other)Ownership% BlackPlease enter a number from 0 to 100.OtherBEE RepresentativeContact Person (BEE representative) First Name Last Name ID NumberMobile and LandlineEmail PartnerContact Person (Partner) First Last ID NumberMobile and LandlineEmail BeneficiariesAfricanMaleFemaleYouth (18 -35)People with disabilitiesColouredMaleFemaleYouth (18 -35)People with disabilitiesIndianMaleFemaleYouth (18 -35)People with disabilitiesOtherMaleFemaleYouth (18 -35)People with disabilitiesNumber of permanent workers currently employedMaleFemaleYouth (18 -35)People with disabilitiesNumber of seasonal workers currently employedMaleFemaleYouth (18 -35)People with disabilitiesDoes the business have a business plan? Yes No Soil classification done? Yes No Soil analyses done? Yes No Is a farm map available? Yes No Total farm sizeTotal farmable landTotal area plantedTotal area in productionTotal water allocation (m³/annum)Main water source Dam Irrigation scheme Boreholes River Total lawful use (per water source above)Indicate water usage per ha/annum (m³/ha/annum)How much water do you have for expansion (m³)Was any chemical water analyses done? Yes No Was any microbiological water analyses done? Yes No Indicate which certification the business has Global Gap Global GRASP BRC Nature's Choice HACCAP SAGAP Other Certification (Other)Does the business have its own packing facility? Yes No Capacity of facility (cartons/day)Where does the business pack the produce?Does the business have a financial record-keeping system? Yes No What system do you use?Does the business have a cash flow projection? Yes No Can you provide the latest audited financial statements? Yes No Business financial year Start of financial year End of financial year Section B : Preferred Cultivar ProgrammePlant density (vines/ha)Number of hectares to be planted?Can you provide a quotation of vines applied for? Yes No Can you provide a detailed establishment cost per hectare? Yes No Please indicate if the application is for Renewal Expansion What is your BEE rating level? (1 to 7)01234567Can you provide Proof of BEE rating? Yes No What is the BEE rating (Level) of your nursery that will provide the planting material? (1 to 7)01234567Rand value requested by the applicant?Should your application be successful, do you agree to the following:Will this assistance be recorded in the financial statements as a contribution of the black partner?(Required) Yes No Do you agree to provide SATI with the above mentioned audited financial statements on request in future?(Required) Yes No Should SATI consider the application favourable, who is financing the rest of the development? (provide written proof and a contact person)Section BBlock numberCultivarYear to be plantedPlanned planting dateRenewal/ExpansionEstablishment Cost/haEstimated equivalent 4,5kg cartons/haMarket targeted with establishment Add RemoveSection C : TrainingTraining Yes No Production Training Yes No Business Management Training Yes No Soft skills Training Yes No Indicate the specific training (course name) you applying forIndicate when the training will take placeIndicate where the training will take placeWho will conduct the training?What is the BEE rating (Level) of the service provider?01234567Indicate the cost of the training per individual (in Rand)Indicate the total amount applied for (in Rand)Indicate if the training is accredited Yes No Indicate if a skills audit was done to identify the training need Yes No Describe how and why the nominated candidates was identifiedIndicate if the nominated candidates are beneficiaries or workers within your businessContact number of Owners or Shareholders nominated for the trainingContact number of workers nominated for the trainingSection D : Other Business SupportBusiness Plan Development Yes No Resource Investigations (lab analyses, etc.) Yes No Production Advisory services Yes No Market Intelligence Yes No Certification support services Yes No For any other services you apply describe your request in detail and motivate why the service is required?Indicate which service provider you have identify to assist you?What is the BEE rating (Level) of the service provider?01234567Why did you choose the above mentioned service provider?What is the total cost of the above mentioned service provider?What rand value are you applying to support your need?How much can you contribute towards this cost?Annexure AAnnexure ABlock numberCultivarYear plantedNot bearing (ha)Bearing 2024 §Bearing 2023 §Bearing 2022 §Average price/carton 2024Average price/carton 2023Average price/carton 2022 Add Remove§ Bearing (Indicate equivalent 4,5kg cartons/ha)Annexure BAnnexure BNameSurnameIdentity NumberMale / FemaleShareholder in business YES/NOCourse applying forCost Add Remove Δ