Full Application Form: Youth in Tech | Phakamani Funds & Solutions

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Sibanye-Stillwater Full Application Form:

Youth in Tech

You will need to upload various documents, please look at the file uploads and make sure you have these ready before you start filling in the form.

This includes uploading the director’s ID document, business registration document, proof of residence for the director, CIPC registration.

Sibanye Application form - Youth in Technology

DIRECTOR DETAILS

Director's First Name

Director's Last Name

Director's ID Number

Director's Email Address

Director's Contact Number

Director's Residential Address

Would you (The Director) be completing the programme?

Yes

No

would you like to include any youth (35 years and younger) employees on the programme?

Yes

No

List the name and surname of each individual on the programme

BUSINESS DETAILS

Name of Business

BEE %

BWO Ownership %

BYO Ownership %

BDO Ownership %

Do you have a vendor number with Sibanye

Yes

No

What is Your Vendor Number?

Business Address

Business Registration CIPC Number

LOCALITY

Region

Rustenburg Areas

Marikana Areas

PMR Areas

Beatrix Areas

West Wits Areas

Burnstone Areas

Other Region (if not listed above)

What is your business offering?

TECH PROGRAMME

Do you have access to Internet?

Yes

No

do you use Fiber Or do you use Data?

Fiber

Data

Which Internet Provider do you use? (MTN, Vodacom, Telkom, ETC.)

Has your SME been a beneficiary to previous Sibanye Phakamani Programmes?

Yes

No

If yes - which ones

Supplier Mentorship

Start-up (Marikana)

Sibanye 80

Women in Mining

Youth in Mining

Solar (2024)

Solar Green Card

Clearview Training Programme

Signage Manufacturing & Instillation Programme

Carpentry Training Programme

General Management or HMD

Skills Training

TECH PROGRAMME

How does your business use tech currently?

How will you use the knowledge gained from this programme in your business - be specific

Which statement describes you & your business most accurately:

Do your selected programme beneficiaries (those who will complete the programme from your SME) have the following pre-requisites):

A) Working knowledge of Microsoft 365 applications

Yes

No

B) Basic - intermediate Excel working knowledge

Yes

No

BUSINESS STATS

How Many Clients Do You Have?

Number of Active Contracts

Number of full time employees

Total Turnover from the Previous Year (Jan - Dec 2025)

How Long Have You Been Generating Consistent Revenue?

Is The Business Compliant With SARS?

Yes

No

Tax Pin No:

Is your business COIDA compliant

Yes

No

Tick the boxes where you feel your business could use additional support:

Business strategy and growth planning

Financial management and cash flow

Access to funding and finance

Tendering and procurement processes

Health, Safety and Environmental (HSE) compliance

Quality management and certifications

Marketing and business development

Sales and customer acquisition

Human resources and people management

Leadership and management skills

Operational efficiency and productivity

Technology and digital systems

Legal and regulatory compliance

Supply chain and logistics management

Project management

Contract management

Costing, pricing and profitability

Record keeping and business administration

ESG / sustainability practices

Other

Director's ID

Choose File

Youth Employee applicants' ID

Choose File

CIPC Document

Choose File

BEE Certificate

Choose File

Business Profile

Choose File

Business Logo

Choose File

Contact us



Address

Aspen Business Park
Madison Avenue, Aspen Lakes Ext 13, Aspen Lakes, Johannesburg South, 2190



Email

info@phakamanigroup.com



Phone

+27 (0)11 439 3929

Get in touch

Name

Email Address

Message

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Phakamani Funds & Solutions is a division of Phakamani Impact Capital.
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