Inua Binti Information Record

Congratulations for winning small grants seed grant award. We wish to understand your business to be able to help you better. Kindly fill the form below and submit. OCF team will contact you for the delivery of equipment approved. It will take you 15 mins to fill the form.. Thank you for partnering with us

First Name *

Last Name *

Telephone Number 1 *

Telephone Number 2 *

Your Email

Date of Birth *

Telephone Number of next of Kin. *

Number we can call if your number is not available

Name of next of kin. *

Name Friend or relative who is close to you

How are you related to next of kin?

For example: Mother, sister, husband

County you were born

by number

Your highest Level of Education *

Name of College or School and courses you pursued *

Year of Graduation *

How many children do you have? Select below. *

Tell us more about your business: What do you sell, where do you buy the stock (raw materials) *

(about 150 words)

Where is your Business located? Name of place and the road or nearest buildings and stall name

For example: Kongo- Kawangware, Toy Market, Olympic -Kibra, Name of hotel, stall number,etc.

Who are your customers?

For example: Pupils (if you sell books), women (if you sell hairpieces and make up ), everyone (if you sell food) etc.

Which year did you start your business or which year do you want to start your business?? *

Tell us when you started the business or when do you want to start.

If you have started your business, send us a picture of your business stall or goods on OCF WhatsApp 0792758764. Save number now and send later.

Select No if you have not started the business.

Tell us main ITEMS (finished goods) you sell to your customers: Start with ITEM 1

What are you selling to your customers? For example, your business sells, Shoes, grains, Meals, Dresses, Hairpieces, Fish or Make up,

Selling price for ITEM 1 in KES (estimate) *

How many of ITEM1 can you sell in a good day (estimate) *

How many of ITEM1 can you sell in a bad day (estimate) *

Name ITEM 2 you sell to your customers.

e.g. Soda, A meal, A dress, one make up session or omena 1 kg

What is the selling price for ITEM 2 in KES

How many of ITEM 2 can you sell in a good day

How many of ITEM 2 can you sell in a bad day

Name ITEM 3 you sell to your customers( finished product)

Selling price for ITEM 3 in KES

How many of ITEM 3 can you sell in a good day?

How many of ITEM3 can you sell in a bad day

If you sell many items. List them and their price. Tell us how much you can sell on a good day.

How many days per week do you open your business?

List the names of stock you need to buy for your business and the price of each

Stock is raw materials you need to produce what you sell. For example: 1 Sack of potatoes @ Kes. 6,500 per month for those who make chips. 30 Hair pieces @ 400 per piece per week, or one bale of mitumba per month. etc.

Estimate in KES ,how much you can use to buy your stock above per month. *

For example. Put 12,000 if you buy one bale of Mitumba per month. OR Put 16,000 if you buy 1 sack of potatoes at 4,000 every week. ( 4weeks x 4,000)

How much do you pay to for the stall where you sell *

put 0 if you don’t have a stall or a shop.

How many people have you employed, including yourself

Put 1 if you work alone.

How much do you pay for your transport per day. *

estimate transport to and from work per day.

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