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The document is an application form for the Commonwealth Chamber of Commerce – Africa & the Pacific, aimed at empowering Commonwealth entrepreneurs. It includes sections for organization information, current financial situation, project proposal information, grant budget, and supporting documents required for funding consideration. Applicants must provide detailed information about their enterprise, financial status, and the project for which they are seeking funding.

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Isaac Tadigna N
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226 views6 pages

Form

The document is an application form for the Commonwealth Chamber of Commerce – Africa & the Pacific, aimed at empowering Commonwealth entrepreneurs. It includes sections for organization information, current financial situation, project proposal information, grant budget, and supporting documents required for funding consideration. Applicants must provide detailed information about their enterprise, financial status, and the project for which they are seeking funding.

Uploaded by

Isaac Tadigna N
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 6

SN: CCCAP/ECE/5431/25

COMMONWEALTH CHAMBER OF COMMERCE – AFRICA & THE PACIFIC (CCCAP)


EMPOWER COMMONWEALTH ENTREPRENEURS’ APPLICATION FORM

ENTREPRENEUR’S NAME: ____________________________________________________________________

PROJECT NAME: ________________________________________________

ENTERPRISE NAME: ____________________________________________

COUNTRY OF RESIDENCE AND NATIONALITY: ____________________

APPLICATION INSTRUCTIONS: Fill this application form using an INK PEN

YES NO IF YES
1 Is the entity owned and managed in Africa OR the Pacific Attach an authenticated document of
countries? ownership
2 Is the entity legally registered in the country of residence Attach certified copy of registration
certificate
3 Does the entity have management or audited accounts for the last Attach copies of the
2 years? management or audited accounts
for the last 2 years
4 Has the entity operated bank accounts for the last 12 months? Attach copies of bank statements for the
period.

Applicant Contact Points:


Name of Primary
Contact:
Position:
Telephone:
E-Mail:
Location of the Organization/Business:
Physical Address:
Mailing Address:
City or town [if urban]:
Village [if rural]:
Nearest Town [if rural]:
SIGN-OFF
I understand that a material misstatement or the omission of material facts may stop the Commonwealth Chamber of Commerce for Africa
& the Pacific from providing funding, may require the termination of any funding that is awarded, and may give cause for legal action by
the Organization. I confirm that I have necessary authority to act for and on behalf of the company in making the foregoing statements and
that they are correct, to the best of my knowledge and belief, and that no statements of fact are omitted from this questionnaire which are
necessary in order to make the statements herein not misleading.
Applicant Full Names Signature

Empower Commonwealth Entrepreneurs’ Application Form 2025

Page 1 of 5
CCCAP GRANT APPLICATION

NOTE TO APPLICANT: The Project Funding Application includes four sections below:

A. Organization Information
B. Current Financial Situation
C. Project Proposal Information
D. Project Budget
E. Supporting Documents

Please follow this outline in developing your application request. The answers to the questions below should be
in INK PEN and brief and to the point. If your application is accepted, additional details will be required.

A. ENTERPRISE/ORGANIZATION INFORMATION

1) The enterprise/organization was established in ______________________________ (year)

Date of Legal Registration (Month / Day / Year: _____________________________

2) Please state the mission or purpose of your organization or enterprise. Limit response to one paragraph.

3) Provide a short description of how the organization or enterprise generates its revenues. Limit response to
one paragraph.

4) What is the primary commodity(ies) or product(s) that the organization or enterprise produces for revenues?
Limit response to one paragraph.

5) Indicate the current number of Employees:

Total Full Time: ______ Men_____ Women_____

Total Part-Time/Seasonal: ______ Men_____ Women_____

Empower Commonwealth Entrepreneurs’ Application Form 2025


Page 2 of 5
CCCAP GRANT APPLICATION
B. CURRENT FINANCIAL SITUATION

A) Have you requested any other funding (grants or loans) support from other donors, or banks that are
still being considered? If yes, please list details below. If not applicable, indicate NA.

Donor Name Date Type (Loan / Grant) Value

1) Does the organization or enterprise have a trained accountant or bookkeeper? Yes / No

2) (i) Does the organization or enterprise have two years of financial statements? Yes / No

(ii) Are the statements audited? Yes / No

(iii) If yes, attach copies of the most recent audited accounts for the same period.

3) (i) Does the organization or enterprise operate a bank account for business transactions? Yes / No
(ii) If yes provide name and branch of the bank and the period this account has been operated

Bank name Branch When the account was opened

C. PROJECT PROPOSAL INFORMATION

1) Briefly describe the project that the enterprise/organization is currently working on that requires funding?

2) What specific constraint(s) is/are preventing the enterprise from accessing commercial investment for
the above project?

3) How will this grant allow your organization or enterprise to address the constraint(s) identified in (2)
above?

Empower Commonwealth Entrepreneurs’ Application Form 2025


Page 3 of 5
CCCAP GRANT APPLICATION

4) Briefly highlight the socioeconomic impacts of your project on the community and if the project will
benefit a given section of the community, (for example, the elderly, people with disabilities, youth, families
etc.)

D. GRANT BUDGET

1. Total amount of grant you are requesting? (Min USD 1,000 – Max USD 1,000,000): _____________________

2. Estimate the budget needed to make the enterprise investment ready as discussed under (C) above.
Please fill in the budget template below. (Attach a proposed budget with narrative using the
template provided at the end of this application form).

E. SUPPORT DOCUMENTS

1) Provide a copy of your organization or enterprise registration document and articles of incorporation.

2) Provide copies of the past two years of financial statements.

3) Provide copies of business bank statements for the last 12 months and/or business mobile money
transfer statements for the same period

4) If applicable/available, provide a copy of your most recent business plan/project proposal.

Empower Commonwealth Entrepreneurs’ Application Form 2025


Page 4 of 5
CCCAP GRANT APPLICATION

PROJECT BUDGET

Name of Project

Costs

Category Description in USD*

A.1

A.2

Sub-Total

B.1

B.2

Sub-Total

C.1 used for:

C.2 used for:

Sub-Total

Grand Total

Empower Commonwealth Entrepreneurs’ Application Form 2025


Page 5 of 5
CCCAP GRANT APPLICATION

Empower Commonwealth Entrepreneurs’ Application Form 2025


Page 6 of 5

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