Step 1 of 6 16% A. Applicant Company Information A1. Statutory and Company Information Company Name(Required)Trading Name(Required)Registration Number(Required)Years in Operation(Required)The duration of your ongoing business operations may span a period either longer or shorter than the number of years since the business was initially registered.Address(Required)Postal Code(Required)Description of CompanyKey Product/Services OfferedIndustry and/or Sector A2. Company Contact Person Full Name(Required)Email(Required) Phone(Required)Position at Company A3. Company Ownership Provide particulars for all natural persons with either direct ownership in their personal capacities or indirect ownership via a legal entity. (Required)List(Required)Full Name% OwnershipCapacity in EntityID NumberPopulation GroupNationality Add Remove A4. Company Organogram Please upload a simple organogram detailing your company structure. Include ownership details and related parties.File Drop files here or Select files Accepted file types: jpg, png, pdf, doc, docx, xls, xlsx, Max. file size: 64 MB, Max. files: 6. A5. Job Statistics Number of EmployeesNumber of Black EmployeesNumber of Female Employees A6. Online Presence WebsiteOtherCompany BrochureAccepted file types: jpg, png, pdf, doc, docx, xls, xlsx, Max. file size: 625 GB. A7. Footprint Please indicate where you have a business footprint.Footprint Eastern Cape Western Cape Northern Cape KwaZulu-Natal Free State Limpopo North-West Gauteng Mpumalanga Other Footprint Other B. Solar Lease Funding Requirement Address of the property for which solar is required:(Required)Does the Company own or lease the property for which solar is required?(Required) Own Lease Has the company previously sought out a solar solution and/or solar funding?(Required) Yes No If Yes, please elaborate and/or attach quotation:Sharing information about your previous experiences related to solar energy and/or solar funding will not impact the outcome of your Inyosi Solar application. However, any additional information you provide can enhance the accuracy and expedite the processing of your application during its initial stages.FileMax. file size: 625 GB.What are your main reasons for seeking a solar solution?(Required) Reduce energy costs Environmental sustainability Energy independence Regulatory compliance Other (please specify) UntitledAny additional comments or information relating to your Company’s solar need?FileAccepted file types: jpg, png, pdf, doc, docx, xls, xlsx, Max. file size: 64 MB. C. Supporting Information Please provide as much of the following information as possible. Any information not submitted at this stage will be requested at a later stage and may affect the turnaround time of your application. C1. Regulatory Related BEE Affidavit/ CertificateMax. file size: 64 MB.Tax Pin/ClearanceMax. file size: 64 MB.Statutory Registration Documents (CK or Trust Deed or CM or CoR14, CoR39 or equivalent CIPC)Max. file size: 64 MB.ID Document (for each shareholder/director/member or trustee) Drop files here or Select files Max. file size: 64 MB. C2. Due Diligence Annual Financial Statements (prior 3+ financial years) Drop files here or Select files Max. file size: 64 MB. Year-to-date Management Accounts Drop files here or Select files Max. file size: 64 MB. Bank Statements for all Company bank accounts (prior 6+ months) Drop files here or Select files Max. file size: 64 MB. Eskom Utility Bills (prior 12+ months) Drop files here or Select files Max. file size: 64 MB. Property Lease Agreement if leasing property, or Municipal Statement confirming ownership of property Drop files here or Select files Max. file size: 64 MB. Have other financiers provided funding to the Company? If so, please complete the following:ListLenderType of financingInitial amountTerm (months)Interest rateSecurity arrangement Add Remove D. Declaration Inyosi undertakes to treat your and the Applicant’s personal information as confidential and take all appropriate technical and organisational measures to protect your personal information as required by the Protection of Personal Information Act of 2013 (POPI). Inyosi Solar and its agents, may use, process or transfer your personal information and that of the Applicant: if the law requires us to do so; if it is in the public interest to do so; to our business partners, suppliers, investors, financiers and affiliates who require this information for the ongoing management of this Application and the underlying purposes; to communicate to you and the Applicant regarding our and our affiliate’s products and services; or if you have given us your consent. For further information on Inyosi’s Privacy Policy refer to our website: https://inyosi.co.za/privacy-policy/ E. Consent I, the undersigned, declare that I am duly authorised to act, represent and provide information on behalf of the Applicant, and furthermore declare that the information provided in this application form is true and complete. I also understand that any misrepresentation of the information in this application form will disqualify my application, and may lead to, inter alia, legal action against the entity I represent for furnishing false statement or information to Inyosi Solar. By signing this form, I hereby consent to Inyosi Solar performing an entity/personal search, or using any third party to record, assess your credit worthiness, or monitor your payments to us (e.g., credit bureau and/or a government agency) relating to this Application. I further authorise Inyosi Solar to disclose some of my personal information to these parties to obtain the information they require and acknowledge that Inyosi will never disclose more information than they are required to. By signing this form, I hereby warrant that I have obtained and will obtain all legally required consents and permissions from relevant parties (including data subjects) for the use, processing and transfer of the personal information provided in this Application. I certify that I am duly authorized to sign this application and that my signature will be binding on the Applicant. How did you hear about us? Facebook LinkedIn Instagram Radio, article, or any other publication A friend An existing client/beneficiary/supplier SignatureDate(Required) MM slash DD slash YYYY Name(Required)Place(Required)CommentsThis field is for validation purposes and should be left unchanged.
