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Application Form for Small Business Relief Grants and Services (SBRGS)
Small Business Bureau - Ministry of Business
* Indicates required question
1. Client Contact Information
Surname
*
Your answer
First Name(s)
*
Your answer
Permanent Address
*
Your answer
Home Telephone Number(s)
Your answer
Mobile Telephone Numbers(s)
*
Your answer
Email Address
*
Your answer
ID Number
*
Your answer
2. Business Information
Name of Business/ Trading Name
*
Your answer
Date Business Registered
*
MM
/
DD
/
YYYY
Period of Operation
*
Your answer
Type of Business
*
Agriculture, forestry and fishing
Agro-Processing
Construction
Manufacturing
Wholesale and Retail Trade
Professional, scientific, and technical services
Tourism (Accommodation, Attractions, Adventure / Recreation, Travel)
Restaurant / Food
Arts, entertainment and recreation
ICT
Other:
Required
Type of Products and Services
*
Your answer
Business Address
*
Your answer
Business Telephone Number(s)
*
Your answer
Number of Employees
*
Your answer
Average Number of Customers
*
Your answer
Average Monthly Income
*
Your answer
Average Monthly Expenses
*
Your answer
Current Business Status
*
Open
Closed
3. Impact on Business
Briefly state 3-5 major areas of impact below
*
Your answer
4. Business Relief Required
Relief Grant Required
*
Yes
No
Amount Required
*
Your answer
Purpose of Relief Grant
*
Your answer
Training Required
*
Yes
No
Type of Training Required
*
Your answer
Support in Diversifying Business and Areas
*
Yes
No
If yes, state support needed in Diversifying Business and Areas .
*
Your answer
Advertising/ Establishing Business Online
*
Yes
No
Other
Your answer
5. Business Relief Support Received
COVID-19 business relief support received from other agencies
No
Yes
Clear selection
If yes, briefly state type(s) of business relief support received
Your answer
Briefly state the name(s) of the other agency or agencies
Your answer
6. SBB Client Status
Registered Client of SBB
*
Yes
No
Date of Registration
*
MM
/
DD
/
YYYY
NIS Compliance
*
Yes
No
GRA Compliance
*
Yes
No
Past Recipient of SBB Support
*
Yes
No
Type(s) of Support Received and when
Your answer
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