Building Back Better – MSME Recovery Grant Application Form
Language
  • English (US)
  • Arabic‬‎

  • Building Back Better – MSME Recovery Grant Application Form

    Implemented by Berytech in partnership with the World Food Programme

  • Section 1 - Applicant Information

  • Date of Establishment*
     - -
  •  -
  • Preferred Language of Communication*

  • Section 2 - Business Profile

  • Type of Entity*
  • Sector / Value Chain Segment (Choose one main activity)*
  • 0/150

  • Ownership Composition

  • Any owner or staff with disabilities?*
  • Rows
  • Is the organization managed by the owners?*
  • Rows
  • Rows
  • Do you employ refugees or displaced workers?*
  • Main Customers / Buyers
  • Do you buy from local farmers / cooperatives?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Section 3 - Conflict Impact Assessment

  • Did your business suffer direct or indirect damage from the conflict?*
  • Type of Damage Experienced (check all that apply):*
  • 0/200
  • Have you received any recovery support or humanitarian aid since the conflict?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Section 4 - Recovery Plan

  • What are your main recovery priorities?*
  • 0/250
  • Expected Timeline for Recovery (Months)*
  • Expected Results if Supported (Select all that apply)*

  • Recovery Plan Justification

  • 0/150

  • How many jobs will be maintained or created though this support?

  • Section 5 - Financial Profile

    All financial data may be approximate or rounded estimates. Figures are kept confidential and used solely for evaluation purposes
  • Average Monthly Sales (Before the 2024 Conflict)*
  • Average Monthly Sales (Currently)*
  • Main Cost Component (Select top 3)*
  • Primary source of Revenue*
  • Approximate value of business assets (equipment, facility, vehicles, etc.)*
  • Currently outstanding debts or loans?*
  • Source*
  • Access to banking or financial services*
  • How has your financial situation changed since the conflict*
  • How long can your business sustain current operations without external support*
  • 0/150
  • Are you planning to expand or replicate your operations post-recovery?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Section 6 - Current Technical Gaps and Needs

  • What are the main technical or management challenges currently limiting your business performance? (check all that apply)*
  • 0/200
  • What type of technical assistance or training would help you overcome these gaps? (check all that apply)*
  • Would you be open to participating in tailored technical assistance or group workshops provided by Berytech and its partners?*

  • Section 7 - Farmer Linkages and Value Chain Role

  • Do you buy inputs or raw materials from local farmers or cooperatives? *
  • Do you have written or informal contracts with farmers/suppliers?
  • Which part of the value chain best describes your role?
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof

  • Section 8 - Inclusivity and Sustainability Practices

  • Is your business women-led, youth-led, or inclusive of persons with disabilities?*
  • Do you apply any environmentally sustainable practices? (check all that apply)*
  • Would you be interested in receiving support to adopt sustainability or inclusion measures? *

  • Section 9 - Compliance and Declarations

  • Confirm that your enterprise*
  • Do you consent to data verification visits by Berytech and WFP representatives? *
  • Do you authorize the use of non-confidential business data for reporting and visibility purposes?

  • Declaration:
    “I hereby certify that all information provided in this application is true and complete to the best of my knowledge.”

  • Date*
     - -
  • Clear
  • Should be Empty: