ProfitShare Partners

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Let's secure your business deal
Welcome to ProfitShare Partners. Your team of professionals are ready to support you in taking your business further.

Our system is built on the latest technologies and is designed to make this process seamless and uncomplicated. The information that you provide here is essential to finalising and securing our agreement - you will need to complete all the fields accurately and completely.

ProfitShare Partners will support you through the entire project. Our team will offer assistance, if required, to maximise the benefits of our agreement and mitigate the risk in the delivery of the project

You will receive feedback within 24-48 hours. For all other queries, please email queries@profitsharepartners.com

To save time please have the following information on hand:

Good Internet connection.
The application process may take you +/- 10 to 15 mins to complete.
Please ensure that your device is sufficiently charged to ensure seamless capturing of information and minimal disruption.
You will need to have the following documents available:
Purchase Order document
Supplier Quotation/Proforma
Company Financials as it relates to (Turnover, Gross Profit, Net Profit Before Tax, Total Assets, Total Liabilities for 3years include the current year, if applicable)
Employee information (Ages, Gender & Ethnicity)

Applicants Information

Person filling in application form
Title. *

Other Title. *

Full Names. *

Surname. *

Identity Type. *

Forgein ID/Passport Number. *

ID Number. *

Mobile Number. * 🛈An OTP will be sent to this number to confirm your application. Please ensure the number is corrrect.

Email Address. *

Confirm Email Address. *

City. *

Province. *

Mobile Authentication OTP

Please enter the mobile OTP (One Time Password) received on your mobile phone.
Mobile OTP Code *

You can only resend the OTP up to three times.

Entity's Information

Please input your Entity Registration number below.
Entity Reg No. *

Business Information.

Please ensure that you answer all questions accurately.
Business Details

Registered Name Applicant *

Company Registration No *

Trading Name

VAT details.

Are you VAT Registered? *

VAT Number *

Industry *

Industry Category *

Industry Other *

Contact/Address Details

Landline Number *

Postal Address *

New Postal Address *

Business Registered Address *

New Registered Address *

Business Questionaire.

Please ensure that you answer all questions accurately.

1. Are any directors / shareholders / critical personnel under debt review
or have applied for debt review?
If Yes, then provide further information. *

2. Have you ever been declared insolvent / sequestrated?
If Yes, then provide further information. *

3. Does the entity have any pending litigation against it?
If Yes, then provide further information. *

4. Has the entity applied for Business Rescue in the last 6 months?
If Yes, then provide further information. *

5. Is Entity under Business Rescue or intending Business Rescue in the next 3 months?
If Yes, then provide further information. *

6. Does the entity or any of the Directors have any disputes with SARS?
If Yes, then provide further information. *

7. When is your Financial Year-end? *

8. Entities Financial

9. Employee breakdown 🛈 This information is for statistical purposes only and will not impact the outcome of you application.

10. Will this joint venture help SUSTAIN these jobs?
If Yes, please provide further information. *

11. Will this joint venture help CREATE more jobs?
If Yes, How many? *

12. Breakdown of Scorecard 🛈This is for statically purposes only and will not affect your application

The Enterprise is		% Black Owned
The Enterprise is		% Black Female Owned
The Enterprise is		% Black Designated Group Owned
Breakdown of Black Designated Group
Black Youth		%
Black Disabled		%
Black Unemployed		%
Black People Living in Rural areas		%
Black Military Veterans		%

13. BB-EEE Contribution Level *

14. What are the company's current loans?

Loan Type	Initial Loan Amount	Outstanding Loan Amount	Loan Provider

15. Who do you currently bank with? *

16. Have you approached a bank for this funding?
If Yes, what was their response? If not, Why? *

17. Is the Company's debtors book held as security/factored? *

18. Is the company standing surety for anything else?
If Yes, then provide further information. *

19. Are you on any of the following supplier databases? *

20. Are you on any Enterprise or Supplier Development Programme?
If Yes, then provide further information. *

21. Is your business based in a township?
If Yes, please provide township name and location. *

22. Are you or any of the Directors a USA citizen / USA Tax Payer?
If Yes, then provide further information. *

23. Do you receive/have any income or dealings with the U.S.A?
If Yes, then provide further information. *

24. How did you hear about Profitshare Partners? *

Transaction Breakdown.

Please ensure that you answer all questions accurately.

Do you require a letter of financial support from us? *

What is the funds required for? *

Who is the Purchaser Order / Contract Issuer? *

Please provide a short summary of the transaction. *

Your Client's Payment Terms. * days from

Who is responsible for delivery *

Transaction Breakdown. * 🛈 Purchase Orders / Contract must be issued from the same entity or department.

Income (All Amounts is Rands)
PO/Contract No.	Goods description	Amount incl VAT.	Delivery address	PO Documents

Expenses (All Amounts is Rands) *

Capital Amount requested for the Joint Venture? *

Income Total R 0.00

Expense Total R 0.00

Gross Profit R 0.00

Gross Profit Percentage0 %

I Acknowledge:

T's & C's Apply.
1.We only transact with Juristic entities, not Sole Proprietors and / informal Partnerships;

2.All information supplied by You to Us is true and correct;

3.We rely materially on the accuracy of such information and the said information to determine whether or not to transact with you;

4.We are not a Financial Institution, Bank, Credit Provider or Financial Services Provider;

5.We do not loan monies or provide you with Credit;

6.Any transaction which may be entered into between you and us is not subject to the Terms of the National Credit Act or Consumer Protection Act and you shall not be entitled to avail yourself to any of the Provisions thereof; and

7.Should we furnish you with a quote, you cannot infer or represent that such Quotation is an Endorsement of the merits of your entity, business or any particular proposed transaction. We assess transaction/s on a risk / reward time frame ratio and also factor in our exposure on other transactions unrelated to you or yours and the spread of our exposure;

8.Our Response to this Application does not oblige us to enter into any transactions with yourselves;

9.In the event of Us Entering into a Transaction with You We shall require persons in Control of the Applicant to Sign Personal Surety in addition to any other Security;

10.Should your Application be unsuccessful, this does not mean we are unwilling to transact with You, it means we are unwilling to transact on the particular transaction you proposed, feel free to Apply to us on other qualifying transactions

11.By submitting this Application, you confirm that you have familiarised yourself with the nature of our Business and our Standard Terms and Conditions, Requirements, Restrictions and the like.

12.By submitting this application, you hereby declare that you are duly authorised to transact/act on behalf of the company and all information provided by yourself is true and correct.

13.You authorise ProfitShare Partners (Pty) Ltd to conduct any credit checks on the company and its directors.

14.You authorise ProfitShare Partners (Pty) Ltd to verify all information provided by You..

15.You permit ProfitShare Partners (Pty) Ltd to contact Your suppliers and Your customers..

16.If You were referred by a Lead Provider, You authorise ProfitShare Partners (Pty) Ltd to share the details of your application to the said Lead Provider, including but not limited to quotes, application status, queires , etc.

By accepting these terms I hereby acknowledge that:
- I/we hereby declare that all Personal Information supplied to ProfitShare Partners (Pty) Ltd is accurate, up-to-date, is not misleading and that it is complete in all respects.
- I/we hereby undertake to immediately advise ProfitShare Partners (Pty) Ltd of any changes to my/our Personal Information should any of these details change; and
- I/we furthermore give ProfitShare Partners (Pty) Ltd permission to process and store my/our Personal Information, as provided in the application, and acknowledge that I/we understand the purposes for which it is required and for which it will be used.
- ProfitShare Partners (Pty) Ltd would like to keep you updated on SME related information from time to time. This information may be related to business news, competitions, promotions, events and new funding products. You may unsubscribe from our newsletter at any time.
I Accept these T's and C's (Please accept to continune)

Processing your application, Please be patient.

Final process.
Processing...., Please be patient.


Audited Financials *
Turnover *
Gross Profit *
Nett Profit Before Tax *
Total Assests *
Total Liabilities *


Total employees
Age 18 - 24
Age 25 - 35
Age > 36
How many Females employees
How many Black employees (African,Indian,Coloured)

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Let's secure your business deal

Applicants Information

Person filling in application form

Mobile Authentication OTP

Please enter the mobile OTP (One Time Password) received on your mobile phone.

Entity's Information

Please input your Entity Registration number below.

Business Information.

Please ensure that you answer all questions accurately.

Business Questionaire.

Please ensure that you answer all questions accurately.

Transaction Breakdown.

Please ensure that you answer all questions accurately.

I Acknowledge:

T's & C's Apply.

Processing your application, Please be patient.

Final process.