Expression of Interest Declare your interest for the upcoming financial grant program which will be launching soon in various locations. You will be attached to the program for your country once launched. Organization/Company InformationOrganization Name *Organization Type *Nonprofit / NGOFoundationGovernment AgencyEducational InstitutionPrivate Sector CompanySocial EnterpriseCooperative SocietyOthersYear of Establishment *2125212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619250102030405060708091011120102030405060708091011121314151617181920212223242526272829303132Select your country *South AfricaZambiaNigeriaNamibiaBotswanaMozambiqueSwazilandOrganization Registration Number Primary Contact Person’s Full Name *Position/Title CEO/ManagerOwnerPartnerEmail Address *Phone Number *Project Proposal InformationProject Title *Project Location(s) (City/Region/Country) *Sector Focus Area (select all that apply): *EducationYouth & Women EmpowermentHealth & WellbeingTechnology & InnovationEconomic Development & Financial InclusionClimate Action & Environmental SustainabilityAgriculture & Food SecurityOther (please specify)(please specify here) Brief Project Summary *Describe your products/services *itemize the products/servicesTarget Beneficiaries (population group, age, gender, estimated number) Project Duration (start and end dates) *Estimated Project Budget (in USD) *Provide details for your budget.Has this project received funding from any other organization? (Yes/No) *YesNoIf Yes, please specify funding sources. Organizational CapacityBrief Description of Your Organization’s Experience in Similar Projects (max 500 words) *Key Partners (if any) Declaration and ConsentI confirm that the information provided is accurate and complete.I agree that SME Financial Grants organization may contact me for additional information or clarification.Full Name of Person Completing This Form Date *WebsiteSubmit