Scribd Logo
Upload

Welcome to Scribd!

  • 11 views

    Annex 4.f

    Uploaded by

    Wikileaks2024
    This two page document is an updated walk-in registration form for clients seeking services from the Social Fund for Development (SFD). The first page collects basic client and delegate information such as name, gender, ID number, firm activity, and services requested. The second page collects baseline data about the client's business such as employment numbers, salaries, sales, and environmental impact to help SFD understand service impact. The client is also asked if they are willing to pay reasonable fees for SFD services.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Annex 4.f

    Uploaded by

    Wikileaks2024
    11 views2 pages
    This two page document is an updated walk-in registration form for clients seeking services from the Social Fund for Development (SFD). The first page collects basic client and delegate information such as name, gender, ID number, firm activity, and services requested. The second page collects baseline data about the client's business such as employment numbers, salaries, sales, and environmental impact to help SFD understand service impact. The client is also asked if they are willing to pay reasonable fees for SFD services.

    Original Description:

    Annex 4.f

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This two page document is an updated walk-in registration form for clients seeking services from the Social Fund for Development (SFD). The first page collects basic client and delegate information such as name, gender, ID number, firm activity, and services requested. The second page collects baseline data about the client's business such as employment numbers, salaries, sales, and environmental impact to help SFD understand service impact. The client is also asked if they are willing to pay reasonable fees for SFD services.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views2 pages

    Annex 4.f

    Uploaded by

    Wikileaks2024
    This two page document is an updated walk-in registration form for clients seeking services from the Social Fund for Development (SFD). The first page collects basic client and delegate information such as name, gender, ID number, firm activity, and services requested. The second page collects baseline data about the client's business such as employment numbers, salaries, sales, and environmental impact to help SFD understand service impact. The client is also asked if they are willing to pay reasonable fees for SFD services.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    Attachment B – Updated Walk-In Registration Form

    Form # 1
    Service Request

    CLIENT BASIC INFORMATION & NEEDS

    Date: / / Client # :________________________

    Client Data

    Name: ____________________________ Gender: Male Female


    Place of Residence: _____________________________________________________________
    ID #: ______________________________ Civil ID Passport
    Telephone: Home: ____________________ Mobile: ______________________
    Firm Activity: _________________________________________________________________
    Firm address: _________________________________________________________________

    Delegate’s data, if applicable


    Name of delegate: ____________________________________________________________
    Power of Attorney #: ___________________ Date of Power of Attorney _________________

    Requested services
    Inquiry about available services Financing small projects (banks, direct)
    Tax card Financing micro projects
    Commercial registry Land allocation
    License issuance Service status check
    Firm registration (civil number) Technical and marketing support
    Industrial Dev. Authority Services Tax exemption letters
    Complaints and delinquency Installment payment/direct loan installment payment
    Training Courses Others_____________________________________

    SFD needs to charge reasonable (subsidized) fees for services to continue offering them. Are their any
    services indicated above you would not be willing to pay for?__________________________________

    How did you learn about the SFD and the services it delivers?

    Received other services from SFD already. If yes, what kind(s)_________________________________

    or you heard about SFD from:

    Newspapers & magazines Media campaign Mobile services unit


    Nile Media Centers Friends and associates Representative offices
    Civil societies Others (state) ______________________________________

    Version #: 2A
    Update Date: 4/3/2016
    Service Request (Registration Form) page 2

    Client profile baseline data – for all clients except those who have not yet started a business.

    To better understand how to serve you and our other clients, we need to collect some basic
    information from you. If you are an SFD client or become one, this information will help us learn
    what services are most useful and see the impact we are having in the community. The information
    below will not be shared with anyone outside SFD and will be kept confidential.

    Please provide information requested in the table below as of today’s date

    BASELINE DATA TABLE

    Female
    Total Full Time Employment
    Male

    Total Temporary Employment Female


    Male
    Total Youth Employment ages 15 – 24 (full time + temporary workers)
    included in the above numbers

    In Formal Sector? Yes  No 

    Employees Average Monthly Gross Salaries (excluding owners)

    Environmental Impact (negative, no impact,


    Expected in first year
    positive)
    Annual Sales in LE Domestic
    Export

    You might also like