English Français (French) Invest in Africa (IIA) has received a grant from the African Development Bank (AfDB) to finance a Project related to "Strengthening Women, Youth and People with Disabilities' Micro-Entrepreneurship for Green Jobs in Natural Resources (MicroGREEN)" with funding source from the Fund for African Private Sector Assistance (FAPA) and Youth Entrepreneurship and Innovation Multi-Donor Trust Fund (YEI MDTF). The broad objective of this project is to strengthen the capacity of 1,000 young women, youth and persons living with disabilities (PWDs) aged 15-35 years, to take up opportunities in agroforestry, fisheries and biodiversity, and enhancing intersectoral linkages in and between these sectors; in Ghana and Senegal. All MSMEs are hereby invited to express their interest in the programme by completing and submitting their Enterprise Data Form. Download FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 5Select Country *GhanaSenegalBUSINESS INFORMATIONName of Enterprise *Form of Business *Please SelectSole ProprietorshipPartnership/CooperativePrivate Limited CompanyNGOGovernment AgencyOtherYear Business was RegisteredBusiness Registration NumberSector of Operation *Please SelectAgro-forestryAgricultureFisheriesBiodiversityOtherMarket Coverage *LocalRegionalNationalInternationalTax Identification Number (TIN)Description of Products/Services *Stage of BusinessPlease SelectStartup Stage [Proving the core idea and building a basic product]Growth/Early Stage [Rapidly acquiring customers and scaling revenue]Expansion/Take-Off Stage [Significant scaling, entering new markets, or launching new products]Maturity Stage [Stability, efficiency, and maximizing profitability]Renewal or Decline Stage [Strategic adaptation for revival or managing downturn]RegionGeographical Location *DakarDakarDiourbelFatickKaffrineKaolackKédougouKoldaLougaMatamSaint-LouisSédhiouTambacoundaThièsZiguinchorDistrictTown/CityPhysical Location (Closest landmark) *Digital AddressWebsiteName of Contact PersonTelephone of Contact PersonEmail of Contact PersonTotal Sales/Revenue for 2025 (GH¢)Total Sales/Revenue for 2025 (Francs CFA)Moins de 1 000 000Moins de 1 000 0001 000 000 - 10 000 00010 000 000 - 20 000 000Plus de 20 000 000Total Capital Invested in the Business (GH¢)Total Capital Invested in the Business (Francs CFA)Moins de 1 000 000Moins de 1 000 0001 000 000 - 10 000 00010 000 000 - 20 000 000Plus de 20 000 000Please provide your handle or page link for each social media platforms (If applicable)Social Media Handle - FacebookSocial Media Handle - InstagramSocial Media Handle - LInkedInSocial Media Handle - Other (Specify)NextBUSINESS OWNERSHIP INFORMATIONName of Business Owner *Gender *MaleFemaleEmail *Phone *Position in Business *Disability Status *Please SelectNoneMobility ImpairedVisually ImpairedHearing ImparedOtherNational ID NumberOther Disability Status *Age of Business OwnerPlease Select18 - 24 Years25 - 35 Years36 - 40 Years41 Years and AboveProvide details of other business owner (if applicable)Name of Business Owner 2Business Owner 2 - GenderMaleFemaleBusiness Owner 2 - EmailBusiness Owner 2 - Phone (copy)Business Owner 2 - PositionBusiness Owner 2 - Disability StatusPlease SelectNoneMobility ImpairedVisually ImpairedHearing ImparedOtherBusiness Owner 2 - National ID NumberBusiness Owner 2 - Other Disability StatusAge of Business Owner 2Please Select18 - 24 Years25 - 35 Years36 - 40 Years41 Years and AboveProvide details of other business owner (if applicable)Name of Business Owner 3Business Owner 3 - GenderMaleFemaleBusiness Owner 3 - EmailBusiness Owner 3 - PhoneBusiness Owner 3 - PositionBusiness Owner 3 - Disability StatusPlease SelectNoneMobility ImpairedVisually ImpairedHearing ImparedOtherBusiness Owner 3 - National ID Number Business Owner 3 - Other Disability StatusAge of Business Owner 3Please Select18 - 24 Years25 - 35 Years36 - 40 Years41 Years and AbovePreviousNextMANAGEMENT AND STAFF TEAM COMPOSITIONProvide management team composition.Number of Management Team Members *Indicate total number of management members.Female Management Team Members (Aged 18 – 40 Years) *Indicate female management members who are 18-40 years old.Male Management Team Members (Aged 18 – 40 Years) (copy) *Indicate male management members who are 18-40 years old.Management Team Identified as Persons with Disabilities (PWDs) *01234More than 4Indicate total management members who are PWDsProvide staff team composition.Number of Employees (Full Time) *Indicate the number of male and female full-time employees.Number of Employees (Part-Time) *Indicate the number of male and female part-time employees.Total Number of Employees *Indicate the number of male and female employees.Female Employees (Aged 18 – 40 Years) *Indicate female staff members who are 18-40 years old.Male Employees (Aged 18 – 40 Years) *Indicate male staff members who are 18-40 years old.Total Number of PWD Employees (Full & Part Time) *01234More than 4Indicate total staff members who are PWDsPreviousNextINFORMATION ON FIRM'S FINANCIAL INSTITUTION (BANK, MICROFINANCE, SAVINGS & LOANS, ETC)Do you have a bank account? *YesNoAccount Type *Personal AccountBusiness AccountName of Financial Institution *Which bank did you open your account with? *BICISBICISSociété Général Sénégal (SGS)Banque de l'Habitat du Sénégal (BHS)Banque Atlantique SénégalOrabank SénégalBanque Islamique du Sénégal (BIS)Banque Sahélo-Saharienne pour l’Investissement et le Commerce (BSIC)Banque de Dakar (BDK)Ecobank SénégalUnited Bank for Africa (UBA) SénégalBank of Africa Sénégal (BOA)Citibank SénégalCrédit du Sénégal (CDS)Banque Agricole (ex CNCAS)Coris Bank International SénégalBridge Bank Group SénégalCBAOCMS (Crédit Mutuel du Sénégal)PAMECASACEP SénégalMICROSENUMECUUIMCECHas your Company ever accessed any form of credit (loan) from a financial institution? *YesNoName of Financial Institution *If Yes, please provide the bank details for the most recent loanName of Financial Institution *BICISBICISSociété Général Sénégal (SGS)Banque de l'Habitat du Sénégal (BHS)Banque Atlantique SénégalOrabank SénégalBanque Islamique du Sénégal (BIS)Banque Sahélo-Saharienne pour l’Investissement et le Commerce (BSIC)Banque de Dakar (BDK)Ecobank SénégalUnited Bank for Africa (UBA) SénégalBank of Africa Sénégal (BOA)Citibank SénégalCrédit du Sénégal (CDS)Banque Agricole (ex CNCAS)Coris Bank International SénégalBridge Bank Group SénégalCBAOCMS (Crédit Mutuel du Sénégal)PAMECASACEP SénégalMICROSENUMECUUIMCECMost Recent Loan Amount (GH¢) *Below GHS 10,000Below GHS 10,000GHS 11,000 – GHS 25,000GHS 25,001 – GHS 50,000Above GHS 50,000Most Recent Loan Amount (Francs CFA) *Moins de 1 000 000Moins de 1 000 0001 000 000 - 10 000 00010 000 000 - 20 000 000Plus de 20 000 000Capacity Building Programmes Enrolled (in the past 24 months)None1 - 23 - 56 or morePlease list programmes enrolled belowPreviousNext Disability - of DECLARATION *By submitting this form, I authorize Invest in Africa to share my personal information and that of my company with its partners as part of the Microgreen program in order to facilitate my access to markets, skills, and financing. *I acknowledge that the information provided is accurate, true, and complete to the best of my knowledge. Any false or misleading information may lead to disqualification. Thank you.Full Name (serves as your signature) *Submit
