Online application

Beneficiary Capturing Form

Complete the application below and review your information carefully before submitting.

SA Rebuilders Online Application

Before you begin

Complete the beneficiary application carefully. It normally takes 5–10 minutes.

Have your ID number and correct contact details ready.
Fields marked with * are required.
You will review your answers before submitting.
You will receive a confirmation after submitting.

1. Personal2. Contact3. Project4. Declaration5. Review

Apply to the CIE

Fields marked * are required. Please check your information carefully before submitting.

Secure online submission

Personal Contact Details

How should we contact you?

Physical Address * Local Municipality * District Municipality * Province * Cellphone Number * Alternative Number Email Address *

Project Details

Tell us about your innovation or business concept.

Do you have an innovative idea? *YesNo

Description of proposed innovative business, social or technology concept * Project Title * Stage of Development * Sector that the Innovation Falls Under * Type of Support Required * Any Other Key Information

Declaration and Signature

Confirm that the information supplied is correct.

Beneficiary Name * Date * Electronic Signature *

Review Application

Check your information before sending it.

Use the Back button to correct anything before submitting.