Business Grant Application

Care With Purpose

Changing lives daily.

Care That Empowers

Strength in every touch.

Care Beyond Limits

Hope without borders.

Applicant Information

Full Name *

Gender *MaleFemale

Date of Birth *

Nationality / Country of Residence *

Name

Phone Number (WhatsApp preferred) *

Email Address *

Business Name *

Business Address / Location *

Industry / Sector *AgricultureRetailServicesTechOther

Business Registration Status (Registered / Not Yet Registered)

Date Established

Number of Employees

Amount Requested *

Purpose of Grant *Business ExpansionEquipment PurchaseHiring/Training StaffMarketing & BrandingOther

Current Monthly/Annual Revenue

How will this grant impact your business in the next 6–12 months?

Valid ID (Passport, National ID, or Voter’s Card) *

No file chosen

Business Registration Certificate (if available)

No file chosen

Recent Passport Photograph *

No file chosen

Declaration & Agreement *

I confirm all information provided is true and accurate.

Declaration & Agreement *

I understand that a non-refundable Application Processing & Administration Fee is required for this application to be processed.

Declaration & Agreement *

I understand that payment of the fee does not guarantee selection.