Application Form for Small Business Relief Grants and Services (SBRGS)
Small Business Bureau - Ministry of Business
1. Client Contact Information
Surname *
First Name(s) *
Permanent Address *
Home Telephone Number(s)
Mobile Telephone Numbers(s) *
Email Address *
ID Number *
2. Business Information
Name of Business/ Trading Name *
Date Business Registered *
MM
/
DD
/
YYYY
Period of Operation *
Type of Business *
Required
Type of Products and Services *
Business Address *
Business Telephone Number(s) *
Number of Employees *
Average Number of Customers *
Average Monthly Income *
Average Monthly Expenses *
Current Business Status *
3. Impact on Business
Briefly state 3-5 major areas of impact below *
4. Business Relief Required
Relief Grant Required *
Amount Required *
Purpose of Relief Grant *
Training Required *
Type of Training Required *
Support in Diversifying Business and Areas *
If yes, state support needed in Diversifying Business and Areas . *
Advertising/ Establishing Business Online *
Other
5. Business Relief Support Received
COVID-19 business relief support received from other agencies
Clear selection
If yes, briefly state type(s) of business relief support received
Briefly state the name(s) of the other agency or agencies
6. SBB Client Status
Registered Client of SBB *
Date of Registration *
MM
/
DD
/
YYYY
NIS Compliance *
GRA Compliance *
Past Recipient of SBB Support *
Type(s) of Support Received and when
Submit
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