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AB4IR DIGITAL INNOVATION HUB APPLICATION FORM
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Full name
*
You email address
*
Name of Company
*
Position in Company
*
Company registration number
*
Physical Address
*
What numbers should we call?
*
Website Address
Product offering
*
What products/service does your company offer?
Stage of development
*
Idea
Proof of concept
Prototype
Piloting
Commercial
Majority Shareholding
*
SA Owned
Foreign Owned
Youth Owned
Differently Abled Owned
Woman Owned
Current no. of employees
*
Number of years in operation
*
Which province and area are you based?
*
Gauteng
Mpumalanga
Limpopo
KwaZulu Natal
Free State
North West
Eastern Cape
Northern Cape
Western Cape
Do you have a business plan/Business Canvas?
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Yes
No
What skill set do you/partner have that are relevant to the business?
*
TECHNOLOGY/PRODUCT/SERVICES
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Please provide more details of your business idea:
EXPECTED SUPPORT
*
Please let us know how you want us to help you:
Comment
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Technology Innovation Incubation