Application For Funding Form
Application For Funding Form
Application For Funding Form
Application Form
Privacy Statement
As a participant in the Kasi Mnotho Programme, you will be asked to share business information that we understand may be
sensitive and confidential to your operations. To ensure you that we safeguard all business-related information in the strictest
confidence, every year each member of FAMILY TREE HOLDINGS, through its local business association is required to sign a “Code
of Ethics and Conduct.” This Code establishes our commitment to our clients’ confidentiality and the proper conduct in all phases
of our relationship. This is especially applicable to the proper handling of information and communications that may develop in
our discussions. We look forward to working with you and assisting with your continued success. A consent to process personal
information in terms of the Protection of Personal Information Act, No. 4 Of 2013 (POPIA) is herein included.
Township Economic Partnership Fund (TEPF)
Kasi Mnotho Programme
Identification Numbers
Age
Business Trading Address
Nationality
Name of Bank
Branch Name
Branch Number
CONSENT FORM
I furthermore warrant that all information supplied to Family Tree Holdings (Pty) Ltd is to the best of my knowledge true
and correct, that I am not aware of any other information that would affect the credit application of the Company in any
way and that I am authorised to sign this document.
The Company:
Title:
Signature:
Date:
Name:
ID Number:
Name:
ID Number:
Name:
ID Number:
The information provided in this document does not, and is not intended to, constitute legal advice; instead, this template
clause should only be regarded as a guideline and be used for general informational purposes and we recommend that you
seek a legal opinion on the matter from your legal advisors.
Township Economic Partnership Fund (TEPF)
Kasi Mnotho Programme
By signing this form, you consent to your personal information to be processed by Family Tree Holdings
(Pty) Ltd and consent is effective immediately and will remain effective until such consent is withdrawn.
No…………………………… hereby give my consent to the Family Tree Holdings “herein referred to
as the Responsible Party” to collect, process and distribute my personal information where Family
2. I understand my right to privacy and the right to have my personal information processed in accordance
with the conditions for the lawful processing of personal information.
3. I understand the purposes for which my personal information is required and for which it will be used
and consent to third parties accessing my personal information and to the Family Tree Holdings
sharing my personal information strictly for application processing for Kasi Mnotho Funding Programme
purposes.
4. I understand that, should I refuse to provide Family Tree Holdings with the required consent and/or
information, Family Tree Holdings will be unable to assist me.
5. I declare that all my personal information supplied to the Family Tree Holdings is accurate, up to
date, not misleading and that it is complete in all respects and will be held and/ or stored
securely for the purpose for which it was collected and that I will immediately advise the
Family Tree Holdings of any changes to my Personal Information should any of these details
change.
Township Economic Partnership Fund (TEPF)
Kasi Mnotho Programme
6. I also understand that I have the right to request that my personal information be corrected or deleted,
if it is inaccurate, irrelevant, excessive, out of date, incomplete, misleading, or obtained unlawfully or
that the personal information or record be destroyed or deleted if the responsible party is no longer
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Admnistration
Officer
Pre- Assessment
Approval
Finance