Application Form - Eskom Development Foundation

Please Complete the Application Form

Provide accurate and complete information in all required fields before submitting your application.

New Application Form

Organisation Details

Applicant First name:

Contact person

Applicant Surname:

Organisation registration number:

CIPC registration number

Name of Organisation:

CIPC registration name

Organisation Telephone number:

Alternative Cell number:

Physical Adress:

Address line 1:

Address line 2:

Town / City:

Province:

Local Municipality:

District Municipality:

Area code:

Postal Address:

Address line 1:

Address line 2:

Town / City:

Postal code:

District Hidden

Demographics

Total number of Beneficiaries Impacted:

Total Number of People living with disabilities (PWD):

Total Number of Female:

Total Number of Male:

Services Requested and Supporting Documents

Service/need requested:

Signed and dated application letter:

Maximum file size: 5MB

Latest 3 month stamped organisation bank statement:

Maximum file size: 5MB

Three (3) quotations (upload as a single file):

Maximum file size: 5MB

Declaration:

By submitting this application, I hereby confirm that all information provided is accurate, complete, and truthful to the best of my knowledge. I understand that the submission of this application does not guarantee approval or funding. The Eskom Development Foundation (ESDEF) reserves the right to verify the information provided and make decisions at its sole discretion.

Captcha

If you are human, leave this field blank.