ABOUT THE FDA ABOUT THIS PROJECT I SUPPORT AFRICA CONTACT US



PRODUCTS AND SERVICES SERVING AFRICA
PARTICIPATION
SUBMISSION FORM

CONFIDENTIALITY UNDERTAKING:

THE FOUNDATION FOR THE DEVELOPMENT OF AFRICA
gives you an undertaking that any personal information provided
will remain confidential and will never be solicited whatsoever.

PLEASE NOTE:
This PHP programme is rather finicky and often rejects the commonly used apostrophe ' and the & sign
Kindly refrain from using the apostrophe ' and the & sign when entering your detail!
The use of apostrophe ' and the & sign may/will result in your profile not being processed.

PLEASE COMPLETE THE FOLLOWING DETAIL:


Today's Date: (dd-mm-yyyy)


THE NAME OF YOUR
COMPANY/ORGANISATION:

(Should you have a Trading Name - If not enter 'PRIVATE')

Apologies - Please refrain from using the apostrophe ' and the & sign!




BASIC INFORMATION
REGARDING YOUR PRODUCT and/or SERVICE

No more than fifty (50) words or five hundred (500) characters including spaces for BASIC INFORMATION!
Should you wish to add more detail, see next section!

Apologies - Please refrain from using the apostrophe ' and the & sign!
(This is rather essential - Must be Entered)



ADD ADDITIONAL INFORMATION:

No more than one thousand (1,000) words or ten thousand (10,000) characters including spaces for the ADDITIONAL INFORMATION section!
Apologies - Please refrain from using the apostrophe ' and the & sign!
(This is rather essential - Must be Entered)


First (Common) Name of Representative:
(This is rather essential - Must be Entered)


Last (Family) Name of Representative:
(This is rather essential - Must be Entered)


Email Address:
(This is rather essential - Must be Entered)


Position in Company/Organisation:
(It would be good to know.)


Postal Address Details:
(Not essential - but looks good on your PROFILE!)


Physical Address Details:
(Not essential - but looks good on your PROFILE!)


The Name of the Country:
(ESSENTIAL - You need to 'select' your/a Country)


Name of Province/State/Region (within your Country) you are operating/working from:
(Optional - will help though)


Please enter the Name of the Town or City you are working from:
PS: You can only enter one City/Town per form!
If you operate from a number of Towns or Cities you will need to complete a form for each operation.
It may be worth your while to participate as a PAGE SUPPORTER (see options above)

(This is rather essential - Must be Entered)


Name of Suburb you are working from:
(Not a big issue - will help for local development)


Tel or Mobile Contact Number:
PS: Please use this Internationally accepted format eg (00 or '+' 27 (0)11 888 999)
(This is rather essential - Must be Entered)


Fax:
(Optional)


Cell/Mobile:
(Optional - could be useful)


Please indicate your PREFERED form of COMMUNICATION


Web Site:
(If you have one)


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A Unique Pin-Code


Just before you move onto other issues of your product and/or service
please enter a Pin-Code to allow you access to edit your detail.

(Use whatever you like ... just not more than 10 digits!
You are going to need this again - should be entered)


PS: Although you can 'read' your Pin Code - it will appear as 'dots' in future!


Your City/Town of Birth
(This is in the likely event you forget your Pin-Code!
It will help us to identify you when you create a new Pin-Code!)



MEMBERSHIPS AND/OR ASSOCIATIONS


PLEASE NOTE:
In our effort to promote community development as well as recognising the importance for business to unite (by joining local Chambers of Commerce and Industry as well as National Business Associations) we will, if you are a member of good standing of a local Chamber of Commerce and Industry and/or a recognised National Business Association and/or supported by a Governmental Development Agency and/or supported by a Private Sector Development Initiative, PROFILE you or your company FREE!



Are you a member of a Local Chamber of Commerce?
If YES! - Tell us which one:

ADD YOUR CHAMBER NAME



Are you a member of a National Business Association?
If YES! - Tell us which:

ADD YOUR ASSOCIATION



Are you capacitated by a GOVERNMENTAL DEVELOPMENT PROGRAMME?
If YES! - Tell us which Agency:

ADD YOUR GOVERNMENT DEVELOPMENT AGENCY



Are you capacitated by a PRIVATE SECTOR DEVELOPMENT PROGRAMME?
If YES! - Tell us which Programme:

ADD YOUR PRIVATE SECTOR DEVELOPMENT AGENCY



Is your business premisses located within a SHOPPING CENTRE or SHOPPING MALL?
If YES! - Tell us which Centre:

ADD THE NAME OF THE SHOPPING CENTRE




SOCIAL MEDIA INCLUSION - OPTIONAL



Are you active on Social Media Platforms?
Would like to have your SOCIAL MEDIA LINKS added to your PROFILE?

If Yes - Kindly enter your full Social Media address into the appropriate box!
It is recommended you open your Social Media Account and 'copy and paste' the address!
E.G: Your FaceBook address should look something like this:

https://www.facebook.com/THE-FOUNDATION-FOR-THE-DEVELOPMENT-OF-AFRICA-180750959343/


Connect and Chat on GOOGLE


Connect and Chat on FACEBOOK


Connect and Chat on LINKEDIN


Connect and Chat on TWITTER


Connect and Chat on YOUTUBE



Could you not find your SOCIAL MEDIA ?
Tell us what you need!

ADD A SOCIAL MEDIA





CATEGORIES


PLEASE SELECT THE
BUSINESS SECTOR/CATEGORY
you would like to be LISTED/PROFILED

It is recommended you browse through the category options before making your selection!
To select more than one category - hold down the Ctrl key and select additional categories!
Should you select a wrong category - just click on the wrong category and continue!


Could you not find a CATEGORY needed for your product and/or service?
Tell us what you need!

ADD A NEW CATEGORY



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PLEASE CONTINUE



Let's quickly check if you missed any detail required!