Entry form

Sanlam / Business Partners Entrepreneur of the Year® Competition 2013 Entry Form

Entrepreneur’s contact details:

Contact person*:

Business tel*:

Business fax:

Cellphone*:

Email*:

Physical address (from where the business is operating)*:

Postal address:

Postal code:

Province*: ---Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeWestern Cape

Business information:

Name of entrepreneur*:

Business type*: ---Sole ProprietorPartnershipCCCompanyTrust

Name of business entity*:

Industry*:

Financial information

Turnover for FY 2011*:

Turnover for FY 2012*:

Profit for FY 2011*:

Profit for FY 2012*:

Number of full-time employees for FY 2011*:

Number of full-time employees for FY 2012*:

Business detail:

Give a brief description of the history of your business and what products or services you offer.:

As a business owner, briefly describe your entrepreneurial ability and management skills.

Marketing is a vital part for any business, what is your marketing and sales recipe that makes you successful?

Please explain who makes up the client or customer base of your business.

In what way does your business follow good corporate citizenship practices? (Such as social responsibility projects or enterprise development.)

In what aspects have you and your business excelled in to make you worthy of being the Entrepreneur of the Year® 2013?

On signing you agree to being part of any publicity or news articles as part of the competition. You also agree to receive communication from the EOY team and sponsors from time to time.*  Agree

Please note: should your entry qualify to proceed into the second phase of the
EOY competition we may request your financial statements.