SD-SBD Application Rev03

COMPANY DETAILS:

Company Name / SDL № / L
Registration № / VAT №
Describe company core business
Physical Address / Postal Code
Postal Address / Postal Code
Province / Municipality
Full name of CEO/ Director/ Manager / Landline and Cellular №
BEE Status / DTI compliance turn over under 5 million/ BBBEE recognition status of level 4
Black ownership percentage (25.1%)
SMME/ BEE certification Empowerdex, Khula, SEDA
Type of Organisation / Small Levy Paying Enterprise registered with teta and paying levies
Small Non-Levy Paying Enterprise registered with teta who are under levy threshold
Non-Levy Paying Enterprise exempt from paying levies
Non-Governmental Organisation
Community Based Organisation community based organisations and co-operatives
BEE Organisation black owned organisation as outlined in bbbee codes of good practice including companies rated as 75%+
Rejected Mandatory Grant

EMPLOYMENT SUMMARY:

Example: / M / F / D / this indicates that out of 3 employees
only 1 is disabled
2 / 1 / 1
Black / Coloured / White / Indian / Asian / Sub-Total
M / F / D / M / F / D / M / F / D / M / F / D / M / F / D
TOTAL

CONTACT PERSON / SDF:

Name & Surname / Mr / Ms
Email Address / Landline
Position in company / Training manager/ HR manager / external consultant or SDF / Cellular №

TRAINING REQUIREMENTS:

TETA will support training of managers, owners and employees of smallorganisations within the transport sector. This section must be completed should you wish to apply for such support bearing in mind:

  1. Applications are subject to TETA approval, availability of funds and target achievements
  2. Training can only be implemented after confirmation is received from TETA in the form of a written agreement
  3. Funding is capped per company per TETA financial year

Name & Surname / Employee
Y/N / Gender
M/F / Equity* / Disabled
Y/N / Training Program Title / US/ Qual Number / Cost Of Training / Training Provider
Ms Raine Sunshine / Y / F / W / Y / Perform basic life support and first aid procedures / 119567 / R750 / Training Academy cc

* Black (B)Coloured (C)White (W)Indian (I)

TOTAL COSTR 750.00

TRAINING PRIORITIES:

Indicate priority training from the programs requested above / 1) / 2) / 3)

AUTHORISATION:

We, the authorised signatory and SDF, declare that this application is to the best of our knowledge true and correct.
We certify the accuracy of the information presented in this form and understand that any false information may constitute fraud and will be subjected to the full penalty of the law. We further understand that TETA may independently verify this information and may call for evidence relating to this application.
This further serves as proof that consultation has occurred between employer and employees.
Name & Surname / Position in organisation / Signature / Date
SDF
(if applicable) / Training manager / HR manager / external consultant or SDF
Authorised signatory / CEO/ Director/ Manager

ORIGINAL APPLICATION MUST BE DELIVERED TO TETA

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