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CLIENT PRE-ASSESSMENT FORM - Ladysmith

GRANT APPLICATION CLIENT PRE-ASSESSMENT form Branch Area Province clients Reference No.: clients Name: Assessor Name Position Date Outcome of the assessment Approved Referral Rejection Comment on assessment (Assessor) Follow-up on assessment Outcomes NYDA/ GRANT PROGRAMME NYDA/ GRANT PROGRAMME Page 1 of 7 PERSONAL PROFILE OF POTENTIAL CLIENT (S) 1. CLIENT Name and Surname: _____ 2. South African Citizen Identity Number: _____ 3. Contact details: Home Telephone: _____ Cell: _____ 4. Fax Number: _____ 5. E-mail address: _____ 6.

NYDA/ GRANT PROGRAMME Page 2 of 7 Entrepreneurial Analysis 1. Do you have a business Idea? Yes No No (if no, refer to EDP training, starting with awareness)

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