BACKGROUND INFORMATION REQUIREMENTS FROM APPLICANTS FOR THE
SPECIAL NEEDS AND SKILLS DEVELOPMENT PROGRAMME FOR
ENVIRONMENTAL AUTHORISATION SERVICES
The information requested below is required by the CSIR to evaluate whether the proposed project
will qualify for the special needs dispensation and will provide the information necessary to submit the
Environmental Authorisation application to the relevant competent authority.
Section 1: Applicant Details
(To be submitted on this form)
Trading name (if any):
Contact person:
Physical address:
Postal address:
Postal code:
District Municipality:
Telephone:
E-mail:
Owner of the land (if not the
Applicant):
Contact person:
Physical address:
Postal address:
District Municipality:
Postal code:
Telephone:
E-mail:
Section 2: Spatial Information and Project Description
(To be submitted on this form)
Farm name/portion etc.:
Nearest town/s:
Directions to the physical address:
Surveyor-General 21 digit site
(erf/farm/portion) reference numbers:
Current land-use zoning:
In the blocks below, please provide a detailed description of the:
1.
2.
3.
4.
5.
Proposed project activities
On-site and supporting infrastructure requirements
Waste generated by activities
Air Emissions
Project water requirements
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1. Proposed project activities
2. On-site and supporting infrastructure requirements
3. Waste generated by activities
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4. Air emissions
5. Project water requirements
Section 3: Business Plan
(To be submitted on this form or as a separate Business Plan, as an attachment)
Please provide the CSIR with a detailed business plan including inter alia the following
information:
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Resource/Market Assessment
Proposed Business Model
Financial Plan
Employment and Capacity Development Outcomes
Sustainability Outcomes
Risk Analysis
Overall Project Evaluation and Feasibility
Section 4: Proof of Financial Need
(To be submitted as an attachment to this form)
Please attach to this form:
a) Proof of financial need in the form of sworn statements (affidavits), individual monthly
income, bank statements etc.; and
b) Most recent Tax Assessments
CSIR Contact Information:
Ms Minnelise Levendal
CSIR
Box 320, Stellenbosch, 7599
Email: mlevendal@csir.co.za
Tel: 021 888 2495
Ms Surina Brink
CSIR
Box 320, Stellenbosch, 7599
Email: sbrink1@csir.co.za
Tel: 021 888 2490
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