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UGANDA WOMEN ENTREPRENEURS ASSOCIATION LIMITED
UWEAL MEMBERSHIP FORM
Dear Member,
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1.FULL NAMES OF APPLICANT
Your answer
2.HOME ADDRESS
Your answer
3.CONTACT TELEPHONE NUMBER
Your answer
4.EMAIL ADDRESS
Your answer
5.BUSINESS OR COMPANY
Your answer
6.PHYSICAL ADDRESS OF THE BUSINESS
Your answer
7.POSTAL ADDRESS
Your answer
8.TYPE OF MEMBERSHIP
ORDINARY
CORPORATE
UNINCORPORATED BODIES/ASSOCIATIONS
HONORARY
Clear selection
9.APPLICANT'S DESCRIPTION
Business Manager
Business Owner
Profession (Please Specify)
Women's Group (Given the name)
Other (Please Specific)
Clear selection
10.LEVEL OF EDUCATION
None
Primary
Secondary
Vocational Training
Other Skills
Tertiary Institution
University
Other
Clear selection
11.Do you have any IT Skills?
YES
NO
Clear selection
12.If 'Yes' what applications do you use?
MS Word
MS Powerpoint
MS Excel
The Internet
Clear selection
13.How do you rate your IT Skills?
Fair
Good
Very Good
Excellent
Clear selection
Are you linked to the Internet?
Your answer
Is your business registered?
Your answer
If its registered, tick one applicable.
Public Company
Company Limited by Shares
Company Limited by Guarantee
Sole Proprietorship
Partnership
Clear selection
PRODUCT SECTOR INFROMATION
Textiles and Garments
Handicrafts and Ceramics
Services-Professional
Services-Other
Food and Beverages
Furniture and Interior Design
Agriculture
Animal Husbandry
Manufacturing
Give particulars of products or services you provide.
Your answer
ESTIMATED ANNUAL TURN OVER
<5 Million
6-10 Million
11-20 Million
21-30 Million
31-50 Million
50-100 Million
>100 Million
How many banking institutions do you see?
Your answer
What type of Account do you use?
Personal Accountant
Business Account
Clear selection
Have you ever acquired a Business Loan?
Your answer
If 'yes' what was the purpose of each time you acquired the loan and how much was each loan?
Your answer
What is your age bracket?
18- 35 years
35-40 years
40-50 years
50-60 years
60-70 years
Above 70 years
Clear selection
What cluster do you belong to?
Professional Services
Food Processing & Agribusiness
Animal Husbandry
Agriculture
Textile & Garments
Tourism
Furniture & Interior Design
Handcrafts & Ceramics
ICT
SheaButter
Oil and Gas
Manufacturing
Other:
Would you like to be part of the Mentoring as a,
Mentee
Mentor
Clear selection
How did you hear about UWEAL?
Your answer
Who introduced you to UWEAL?
Your answer
What kind of support would you like to receive from UWEAL's programs
Capacity Building
Linkage to affordable financing solutions
Linkage to access to local and international markets.
Networking
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