APPLICATION FORM FOR SAELS PROGRAM Web Site First Name * Last Name * Date of Birth * Age * Sex * Male Female Address * Village Town * State * Educational Qualification * No Education Primary Education Secondary Education Tertiary Education Post Education Married Status * Single Married Separated or Divorced Widow/Widower If you are married, how many Children do you have? * If you are single, how many siblings do you have? * Are you employed? * Yes No If you have skills or have learned any business, what is it? * If you have not learned any skills or business to trade on, what skills or trade do you wish to learn? Why do you choose to learn that particular skill of trade? * Have you done any skilled work or business before? * Yes No Are you still doing the trade or business? * Yes No Why do you want to be part of the SAEL project? * If you are selected, and was able to complete the programme with a seed Loan provided, will you be able to pay back the loan in 2 years? * Yes No