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OCIF Application Form 2025
ccdi-michael
2025-03-05T15:54:47+00:00
OCIF SA Grow Application Form
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SECTION 1: PERSONAL DETAILS
Title:
*
Mr
Mrs
Ms
Dr
Prof
Name:
*
First
Last
Identity Number:
*
Cell number:
*
Work / Landline:
Email
*
Website
*
Please type - http://www. and then the rest of your web address. If you don't have a website, please type - http://www.cdicapital.co.za
Social Media Handles:
LinkedIn Profile:
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Nationality:
*
South African citizen/permanent resident
Non-South African
Biography:
*
Please provide a short biography of yourself / team / company (1500 characters)
SECTION 2: EXECUTIVE SUMMARY
Summary Description:
*
Please provide a summary description of your business and innovation, the problem or need you are solving and what you intend to achieve with the funding. This is the ‘elevator pitch’ that succinctly describes what your solution does (Max 1000 characters)
Motivation:
*
Why do you think you and your business is an ideal candidate for this programme, beyond just the funding? (Max 1000 characters)
Total Funds Required ZAR
*
Total Funds Requested from this fund ZAR
*
Please enter a number from
200000
to
1000000
.
Duration of support needed
*
Maximum intervention window of 2 years
SECTION 3: BUSINESS DETAILS
Company Name
*
Company Registration Number
*
Valid Tax Clearance Certificate?
*
Yes
No
If Yes, please submit.
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
File types allowe
Company Address
*
Same as previous
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Number of full-time employees
*
Full-time employment is people who work for you for 20 hours or more per month or 240 hours per year
Turnover in the last year (if applicable)
*
Financial Statements
*
Drop files here or
Select files
Max. file size: 64 MB.
Upload whatever financials you have. Please note, full financials for at least 3 years would be advantageous.
How many years have you been in business?
*
Total Youth Shareholding as a percentage:
*
Total South African Shareholding as a percentage:
*
Total Female Shareholding as a percentage:
*
Total Black Shareholding as a percentage:
*
Total Disability Shareholding as a percentage:
*
Describe your business model:
*
A business model defines how a company creates value for customers and generates revenue. It outlines the key activities, resources, and strategies needed to deliver products or services effectively (max 2000 characters)
Sector
*
Please state the sector your business operates in
SECTION 4: INNOVATION & MARKET
Who are your current customers or customer segments?
*
Max 500 characters
What is your value proposition for your customers?
*
Max 500 characters
Detailed description:
*
Describe how your solution answers a need in an innovative way, what is the gap in the market you are solving and how you aim to grow/scale your business. (max. 1000 characters)
Please identify the innovation/s relevant to your business
*
Product innovation (a product or service that is new or significantly improved);
Process innovation (new or significantly improved production or delivery method);
Marketing innovation (new marketing method involving significant changes in product design or packaging, product placement, product promotion or pricing);
Organisational innovation (new organisational method in business practices, workplace organisation or external relations)
You can tick one or more of the above options.
Provide a list of anyone you know with the same or similar offering to yours
Current/alternative offerings in the market
Features of current/alternative offerings (mention the most important advantages and disadvantages of current offerings)
Competitive advantage: any superior features that you have over your competitors’ offerings/current offerings
Add
Remove
Please click on the plus sign to add additional rows. If a row cannot be added you have reached the maximum number of rows allowed.
SECTION 5: INTELLECTUAL PROPERTY POSITION
Do you have patents or other IP protection (e.g. registered designs, patents, trademarks or copyrights) in place that pertains to your innovation?
*
Yes
No
If yes, who owns the IP, and what does the patent/IP protection cover? (Provide a brief description)
Please submit a copy of the IP protection document (if applicable).
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
If you do not own the IP, is there an agreement in place that allows you to use it or transfers ownership to you/your business?
Yes
No
If yes, please submit a copy of this agreement.
Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.
New IP:
*
Is there a strong likelihood that you will develop new IP if successfully awarded seed funding? If so, briefly describe potential IP. (max 500 characters)
Uniqueness:
*
What do you see as the most difficult aspects for competitors to copy in your innovation? (max 500 characters)
SECTION 6: GROWTH/SCALE
Growth summary:
*
Please describe how you plan to grow your business over the next 24 months, what the impact and results of this growth will be? (max 1000 characters)
Market access:
*
Briefly describe market growth strategy (max 1000 characters)
Sales:
*
Which channels of distribution will you use/how will you sell your product (direct, intermediary, online) and why (max 1000 characters)
Marketing:
*
What is your communication strategy (max 1000 characters)
Projected Revenue:
*
Based on current market and competitor research are you able to make any annual sales projections and list the assumptions? If so, please explain (max 1000 characters)
SECTION 7: PLAN AND BUDGET
Complete the table below: (Please limit your plan to a 12-month process)
*
Activities
Duration
Start Period
End Period
Deliverables
Budget
Add
Remove
We would like to understand what financing you require to achieve the growth plan for your business detailed above. Please note that we would like you to plan for a budget between R200 000 - R1 000 000. Of the total amount, 50% will be structured as a grant and 50% will be structured as debt. If you are successfully selected, we will work with you to refine your budget and growth plan before final consideration. Complete the table below: (Please limit your plan to a 12-month process)
Provide information on prior funding (grant / debt / equity etc) received for this product/business
*
Funder Name
Amount Received
Activity funded
Period of Funding
Current Status (e.g. In Process, Completed etc.)
Add
Remove
Please click on the plus sign to add additional rows. If a row cannot be added you have reached the maximum number of rows allowed.
Self Funding:
*
Will you provide any match funding for the plan above? Or are there additional costs you will incur which have not been included above? (max 500 characters)
Debt repayment:
*
How do you plan to pay back the debt portion of the debt? How will this impact your cashflow and subsequent potential growth? (max 500 characters)
Optional: Upload financial projections or Gantt chart etc that may help us understand your growth plans in more detail
Max. file size: 64 MB.
SECTION 8: TEAM
List the key members of the team involved in the solution. Provide their qualifications and years of experience in that particular field and the nature of their involvement. Please make specific reference to any design expertise you may have made use of.
*
Team member
Qualification
Experience
Involvement (e.g. paid service, partner etc.)
Add
Remove
List the key members of the team involved in the product/ idea. Provide their qualifications and years of experience in that particular field and the nature of their involvement. Please make specific reference to any design expertise you may have made use of.
SECTION 9: FINANCIAL DETAILS
Debt Repayment
*
Description of current monthly Debt Repayment
Amount
Add
Remove
SECTION 10: SOCIAL BENEFITS
Tick which of the following Sustainable Development Goals your innovation or business will impact positively
*
SDG 1 No poverty
SDG 2 Zero Hunger
SDG 3 Good Health and Wellbeing
SDG 4 Quality Education
SDG 5 Gender Equality
SDG6 Clean Water and Sanitation
SDG7 Affordable and Clean Energy
SDG8 Decent work and Economic Growth
SDG9 Industry, Innovation and Infrastructure
SDG10 Reduced Inequalities
SDG11 Sustainable Cities and Communities
SDG12 Responsible Consumption and Production
SDG13 Climate Action
SDG14 Life Below Water
SDG15 Life on Land
SDG16 Peace Justice and Strong Institutions
SDG17 Partnerships for the Goals
You can tick one or more of the above options.
Impact:
*
Describe the impact you believe your innovation or business will have on the society as a whole? Please link these to the identified SDGs above. (max 1000 characters)
Job Creation:
*
Will your innovation or business growth result in job creation, if so, do you have an idea of what that could look like in the next 2 years?
SECTION 11: BUSINESS VISION AND LESSONS
Business Vision:
*
Please provide a brief overview of your vision for your company/idea and how this could support job creation and economic development. (max 1000 characters)
Challenges:
*
Please provide a brief overview of the challenges you face in your business. What aspects of your business require additional support? (max 1000 characters)
Achievements:
*
Please provide a brief overview of the achievements your business has made to date (max 1000 characters)
SECTION 12: DECLARATION
How did you hear about this opportunity:
*
Social Media
Whatsapp
Investor
Enterprise Support Organisation
Please tick to indicate agreement with each of the declarations below. Please note, if you do not agree to all 11 declarations, we will unfortunately be unable to process your application.
*
I declare that all information provided is accurate and true.
I verify that I am submitting only non-confidential information and I warrant that the information provided does not constitute an infringement on any persons’ intellectual property rights, including but not limited to copyright, trademarks, patents, designs and confidential information.
I agree to provide financial statements, and all supporting documents required
I declare that I am not insolvent or currently under debt administration
I am committed to creating new jobs and making a positive impact on the Sustainable Development Goals.
I am prepared to provide reports on progress and impact to the Fund administrators within the timeframe stipulated by the fund manager for the duration of the project completion.
I agree that in no way can I hold the CDI Capital responsible for any claims arising from Intellectual Property disputes.
I acknowledge that the CDI Capital has no interest in acquiring ownership in any of the ideas and related contents submitted.
I agree that the Orange Corners Innovation Fund South Africa (managed by CDI Capital) can use all product media submitted for promotional purposes related to the Fund.
I am willing to attend all training and mentoring provided by the Fund.
I am willing to refine my innovation and grow my business.
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