BEYOND IMBOKODO NPC

Trading as Next Step South Africa

CIPC Registration: 2026/807410/08 | SARS Tax Reference: 9190301292 | DSD NPO Reference: APPL26-194636

Lenasia, Region G, City of Johannesburg Metropolitan Municipality, Gauteng, 1827

Executive Leadership: Nisa Singh (Chairperson & Founder) | Tel / WhatsApp: +27 68 085 6645

Official Email: nisa@nextstepsa.org.za | Portal: nextstepsa.org.za

COMMUNITY PARTICIPANT INTAKE & VISION AUDIT FORM

Official Beneficiary Application Form for Lenasia

Section A: Personal & Identification Particulars

Full Legal Name & Surname:

South African ID Number:

Date of Birth (DD/MM/YYYY):

Age:

Residential Address:

Extension / Suburb:

Ward Number:

Primary Cell / WhatsApp Number:

Alternative / Emergency Contact Number:

Marital / Provider Status: Sole Breadwinner / Single Mother Unpartnered Guardian Married / Dual Provider

Section B: Household & Socio-Economic Assessment

Total Number of Minor Dependent Children in Your Care:

Ages of Children:

Current Employment & Income Status: Unemployed (R0 / Nil Income) Informal / Casual Day Labourer (Estimated: R1 – R1,500 / month) Other:

Social Grant Support: Child Support Grant

Number of Grants:

SRD Grant None

Section C: Vocational & Trade Incubation Track

Please select the primary economic track you wish to incubate under Next Step SA: Track 1: Commercial Baking & Sweet Treats Production Track 2: Hot Food Preparation & Catering Track 3: Garment Manufacturing, Sewing & Textile Production Track 4: Handmade Cosmetics, Beauty & Curated Gifting Track 5: Market Stall Retail & Street Trade Distribution

Section D: Vision, Goals & Critical Obstacles

What is the single biggest barrier preventing your trade from sustaining your household today? Zero startup capital to purchase ingredients / raw materials Lack of municipal trading permit / harassment by law enforcement Lack of commercial kitchen / certified production space Absence of safe childcare while working

Target Monthly Net Earning Goal in 6 Months:

Rper month.

Are you willing to attend weekly nervous-system regulation, peer-support, and financial literacy workshops? Yes No

Voluntary Community Participation: Next Step SA operates as a grassroots community initiative. Are you willing to assist and participate as an unpaid volunteer during the initial incubation phase, until formal project funding and operational stipends are secured? Yes No

Section E: POPIA Consent & Declaration

I, the undersigned, hereby declare that the particulars furnished above are true and correct. I voluntarily provide my personal information and certified identity documents to Beyond Imbokodo NPC (Next Step SA) for the sole purposes of community needs assessment, municipal trading permit advocacy, vocational skills onboarding, and non-profit grant representation in strict accordance with the Protection of Personal Information Act (POPIA).

Applicant Full Name:

Applicant Signature:

Date:

Required Attachments: Certified Copy of South African ID Document and proof of residents (under 3 months)

Thank you

You can also contact Next Step South Africa on WhatsApp:

WhatsApp +27 68 085 6645

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