SME Application Form
Training and Incubation Opportunities for SMEs and Self-Help Groups on Digital Learning Devices Maintenance and e-Waste Management
Email address *
1. Name of SME/ self-help group *
2. Registration number of the SME / self-help group: (Kindly indicate N/A if this document does not exist).
3. County of operation: *
4. Sub county of operation: *
5. Constituency of operation: *
6. Town of operation: *
7. Year of registration (If applicable)
8. Years of active operation:
9. (a) Contact details - phone number for the SME/group *
9. (b) Contact details - P.O Box for the SME/group
9. (c) Contact details - official e-mail address for the SME/group
10. Provide the number of people with special needs in your SME/Group (enter 0 if none) *
11. Which other businesses/projects are you involved in?
12. Do you have a workshop for repair and maintenance? *
13. Kindly provide the physical location of your workshop (building name, street and town) if any:
14. Kindly upload the registration certificate for your SME/Self help group
15. Kindly upload a list of members to your SME/Self help group (First Name, Last Name, and Gender)
16. Upload a file with educational background of members (First Name, Last Name, Highest Level of Education and Area of Specialization)
17. Kindly upload a cover letter for your application
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service