COMPULSORY QUESTIONAIRE IN RESPECT OF SELF EMPLOYMENT; OWN BUSINESS OR PARTNERSHIP VENTURES IN THE REPUBLIC OF SOUTH AFRICA.

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1 COMPULSORY QUESTIONAIRE IN RESPECT OF SELF EMPLOYMENT; OWN BUSINESS OR PARTNERSHIP VENTURES IN THE REPUBLIC OF SOUTH AFRICA. This questionnaire should be a brief summary of your proposed self employment or own business or partnership venture must be completed in detail. The questionnaire must be supported by a comprehensive business plan an feasibility study, as well as a curriculum vitae ( academically and professional qualifications and your career history) In respect of you and all partners, if it is a partnership venture. Every question posed must be answered briefly on this form. A reply stating: refer to attached business plan or feasibility study, is not acceptable Your personal particulars: Full names: Date of birth: Place of birth: Nationality: Passport number: Dependents: Present Address : Town : Country : Telephone number : _ 2. Please describe the nature of the business you wish to conduct in South Africa, type of business (es), trade activities, commodities, involved, import/export, involvement, supply and demand, etc.: 3. Full address where business will be situated: 4. Is it existing building or must it still be erected? 5. To whom does the site belong? 1

2 2 6. Are the premises being rented? If so, submit a certified copy of the agreement of lease: 7. Please furnish a brief description of the nature of your duties during the past ten years which are relevant to the proposed business/partnership venture and can be accepted as skills/qualifications and experience you have acquired to undertake a venture of this nature: 8. If the proposed venture is in a partnership agreement furnish the following details: Full names, address and nationality of partners; 8.1 Full names: 8.2 Full names: Address: _ Address: Tel No: _ Tel No: Nationality: Nationality: 8.3 Full names: 8.4 Full names: Address: _ Address: Tel No: _ Tel No: Nationality: Nationality: 2

3 3 A curriculum vitae in respect of each partner (s) must accompany this form as well as a brief description of his/her related skills an job function as partner (s). A detailed summary of the partner (s) financial commitment in the venture must be furnished as well as a documentary proof of the formal partnership agreement. 9. Furnish particulars of the role you will fulfil in the business venture in the Republic of South Africa and relate your skills/qualifications and experience to this role: 10. What is your financial commitment to the proposed venture? What amount of financial capital will you transfer to the Republic of South Africa? 11. How will this financial capital be used? 11.1 Amount invested in the business and running expenses: 11.2 Amount to establish you an your family in the RSA: 12. What income will be derived yearly from the business (estimated amount)? 13. What other capital/assets will you introduce into the Republic of South Africa as part of this business/partnership venture (machinery, equipment and so forth )? 3

4 14. What other capital do you presently have invested in the Republic of South Africa (financial & fixed property, investments and so forth)? What other capital do you presently hold outside the Republic of South Africa (financial & fixed property, investments, income, business interess and so forth)? 16. What organisations have you approached as part of your feasibility study to establish general requirements concerning registration of the company, licenses if necessary, registration of the company and possible concessions Small Business Development Corporation (SBDC) YES NO Department of Trade and Industry (DTI) YES NO Regional Development Councils (RDC) YES NO 17. If you wish to establish an import/export business, please state fully what products will be imported/exported. 4

5 18. Furnish a full description of commodity/ies to be imported/exported and the location from which they will be transported to/from the Republic of South Africa. 19. How many South African citizens or permanent residents do you intend to employ in this new business? How many foreign key personnel, if any, would you require in order to establish the own business/partnership in the RSA. In other words, how many foreign persons who have specific skills which are not available in the RSA of that cannot be performed by RSA citizens or permanent residents. State weather these foreigners would need a temporary work permit (TWP) or an immigration permit (IP) to permanently reside in the Republic of South Africa. 21. Will other employees be recruited abroad? If so how many: 22. A list of all foreign persons to be employed: Name / Nationality / Will require a TWP or an IP Position / Salary per month 5

6 6 A job description and curriculum vitae in respect of each key personnel member must accompany this form and an organogram (a summary in tabled form), showing the company manpower structure and how each key personnel member will fit into this structure. A full motivation must also be furnished why you require these persons. If permanent residence is contemplated in respect of the person state why a South African citizen or permanent residence cannot be trained to fill the specific post. 23. Has a license to conduct a business been issued by the licensing authority? If so, submit a certified copy thereof. 24. Has the business been registered with the receiver of revenue? If so, furnish the reference number. 25. Required documents attached hereto. YES NO Name: Signed: Date submitted: 6