August 4, 2026 Hidden PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Last Name *Gender *SelectMaleFemalePrefer not to sayEthnicity *SelectBlack AfricanColouredWhiteIndianAsianDisability Status *SelectYesNoID Number *0 / 13Phone Number *Email Address *WebsiteLinkedIn ProfileImplementing Partner/Organisation through which they heard about GCIP-SA *SelectMafikeng Digital Innovation HubTshimologong Digital Innovation PrecinctStart-Up CulturePropella Business IncubatorSouth African Renewable Energy Technology Centre (SARETEC)Uyilo e-Mobility ProgrammeUniversity of Johannesburg: Process, Energy and Environmental Technology Station (UJ PEETS)Snake NationOtherSpecify the Implementing Partner/Organisation *Name of Organisation *Contact person for the duration of the programme (if different from the above contact) *Sector *SelectEnergy EfficiencyRenewable EnergyWaste BeneficiationWater EfficiencyGreen TransportGreen BuildingsAdvanced Materials & ChemicalsBrief Description outlining the cleantech business/innovation *0 / 300High-resolution company logo *(Please ensure the file is submitted in MB rather than KB for quality purposes)Choose FileNo file chosenDelete uploaded fileCertified copy of the ID/passport of the company representative *Choose FileNo file chosenDelete uploaded fileCIPC registration documents/company registration certificate *Choose FileNo file chosenDelete uploaded fileCSD report *Choose FileNo file chosenDelete uploaded fileProfessional head-and-shoulders photograph of the company representative *Choose FileNo file chosenDelete uploaded fileSubmit