The South African SME Debt Fund A partnership between the Eskom Pension & Provident Fund and Sanlam Investments Application form Contact information For more information, please reach us via: SMEdebtfund@sanlaminvestments.com 1. Do you have a track record older than three years? *NoYes2. Are 70% of your staff South African? *NoYes3. Does your business have high growth potential and ability to repay the loan? *NoYes4. Can you confirm that your business is not involved in primary mining activities, gambling, speculative property (including direct property), retail of alcoholic beverages and derivates used for speculation?) *NoYes5. What is your full name? *6. What is your position in the business (CEO, CFO, founder, shareholder)? *7. Email address *8. Name of SME *9. Link to the website of the SME10. Date when the business was founded (must be three years and up) *11. Does your business have any black or female ownership? *NoYes12. If yes, what is the percentage of ownership? 13. What sector is your business in? *14. Number of employees *15. Business description (what does your business do?)16. Type of funding *DebtEquityGrant Funding17. Funding amount (funding provided starts at R10 million) *18. What will the funding be used for? *NameApply now