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1. Personal details

Full name *

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National ID number *

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Date of birth *

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Day / Month / Year.

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Gender * Male Female

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Phone *

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Email *

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Location

All location levels are required. Select district through to village.

District * —

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Constituency * —

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Subcounty / Town * —

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Parish * —

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Village * —

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2. Eligibility

Please confirm each statement.

I am aged between 18 and 30 years

I am a Ugandan citizen

I have not received prior funding from MK Youth Fund

I undertake to provide information required to monitor my business

I consent to the use of my personal information for this application

I confirm the information provided is accurate

3. Business information

Business name *

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Business stage * — Idea Startup Existing

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Business location *

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Description of business *

0 / 500 words

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4. Use of grant (budget)

Total must not exceed 1,000,000 UGX.

Item	Description	Cost (UGX)
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Add Item

Total: 0 UGX

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5. Financial information (estimates)

Estimated monthly sales (UGX) *

Estimated monthly expenses (UGX) *

Estimated monthly profit (UGX): 0

6. Community impact

Describe your community impact *

Maximum 300 words.

7. Skills and experience

Relevant experience *

Maximum 300 words.

Training / education *

Maximum 300 words.

Current income activities *

Maximum 300 words.

8. Payment details (mobile money)

Mobile money number *

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Registered name *

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9. Supporting documents

PDF or images only. Each file must be 20 MB or smaller. Video and audio files are not allowed.

National ID (front) *

Uploaded:

National ID (back) *

Uploaded:

Business plan (Optional)

Uploaded:

Reference letter (Optional)

Uploaded:

Other documents (Optional)

Uploaded:

10. Declaration

I declare that the information provided is true and correct to the best of my belief.