KJET Application Form

1

Organization Details

Basic information about your cluster/association/cooperative

What is the name of your cluster? *

What is your registration status? *

What is your registration number?

What type of registration certificate do you have? (PDF / DOC / PNG) *

Which county are you located in? *

What constituency are you in? *

What ward are you in? *

What is your location? Please specify the nearest landmark or village. *

What year was your cluster/association/cooperative established? *

Where is your place of operation? *

What is the name of the place of operation specified above? *

What is your value chain? *

Please describe your economic activities and participation along the value chain. Include: What products/services you offer and their approximate % contribution to annual turnover. The steps of the supply chain you occupy (e.g., what you procure, produce, process, and who you sell to). (200 words or less):

0/1000 characters

2

Contact Information

How we can reach you

What is your phone number? *

What is your alternate phone number?

What is your email address? *

3

Leadership And Ownership Structure

Organization leadership and membership details

Please select the types of officers your cluster has and provide their names:

Chairperson

Secretary

CEO

Director

Manager

Treasurer

Women-Owned Enterprise

Does your enterprise qualify as a woman-owned enterprise based on the following criteria:
At least 51% owned by woman/women; OR
At least 20% owned by woman/women AND:
Has at least one woman as CEO/COO/President/Vice President; AND
At least 30% of the board of directors composed of women (if a board exists).

How many members are in your cluster/association/cooperative? Please specify the total number of members in your cluster/association/cooperative for the past three years: { if you are a private firm and not a collectively owned association/cooperative and therefore have no members, please enter 0}

Number of members in 2022 *

Number of members in 2023 *

Number of members in 2024 *

How many people does your organization employ?

Number of employees in 2022 *

Number of employees in 2023 *

Number of employees in 2024 *

4

Demographics

Member demographics and composition

What is the gender breakdown of your cluster/association/cooperative members? Please provide the total number of each gender for the past three years:

Gender

2022

2023

2024

Male members:

Female members:

What is the age breakdown of your cluster/association/cooperative members? Please provide the total number for each age group for the past three years:

Age Group

2022

2023

2024

18-35 years:

36-50 years:

Over 50 years:

5

Financial Information

Revenue, expenses, and financial records

What was the yearly total revenue/turnover for your cluster/association/cooperative for the past three years? Please specify in Kenyan Shillings (KES):

Annual TurnOver in 2022 (KES) *

Annual TurnOver in 2023 (KES) *

Annual TurnOver in 2024 (KES) *

What were the yearly total expenses for your cluster/association/cooperative for the past three years? Please specify in Kenyan Shillings (KES):

Net (After-Tax) Profit in 2022 (KES) *

Net (After-Tax) Profit 2023 (KES) *

Net (After-Tax) Profit 2024 (KES) *

What key pieces of equipment and technology are most critical to your business? What investment plans do you have in the next 2-3 years?

Do you know your price-cost margins by product? Please specify.

Does your organization use an accounting package? If so, which one?

Do you sell through digital e-commerce channels (for example, online digital marketplaces such as Jumia, Kilimall, etc.)?

Sales Channel % of Annual Turnover

(Answers should total to 100%; report 0% if none)

Sales Channel	% of Annual Turnover	Main Buyers Description
Sales to domestic firms (i.e., domestic B2B)	%
Direct sales to domestic consumers/individuals (i.e., domestic B2C)	%
Exports	%
Total	0 %	Should equal 100%

Please upload financial documents for each selected type:

Select the type(s) of financial document(s) you want to upload, then use the individual upload buttons below:

Mpesa Statements

Bank Statements

Income Statements

Balance Sheets

Statement of Cashflows

Basic Paper/Cash-Based Books

6

Business Operations & Review

Final details and document submission

Does the organization have clear objectives and performance targets in place? Please specify the targets and how they are reviewed:

Who are your organization's main competitors? (If this differs by product/sales channel, please specify):

What are critical success factors in your industry? What makes your organization unique versus competitors?:

Please describe your backward linkages – current suppliers of raw materials. Specify the main items your organization procures. For each item, indicate: Whether it is locally sourced or imported, Whether it is procured from large firms, MSMEs, cooperatives, or other types of suppliers, Any notable challenges or dependencies in your supply chain:

What is your marketing plan for future market expansion? Please describe the markets you aim to grow in, the reasons for targeting them, and your strategies for achieving this growth. Include details such as: Customer outreach methods, Operational enhancements, Planned investments, Progress made so far (e.g., discussions or MOUs with potential customers):

What is the problem statement - description of the current challenges of the cluster's business activities and the needs to be addressed? Additionally, specify specific areas where project Business Development Services support could be helpful:

Describe the challenges your cluster is currently facing and the specific needs to be addressed. Highlight areas where project Business Development Services support could be beneficial:

What sustainable practices have you adopted? Sustainable practices refer to environmentally friendly initiatives or actions taken by your cluster to minimize negative impacts on the environment and impacts from the environment (e.g., resilience to drought). Please describe any green initiatives implemented by the cluster, if any:

Describe any green initiatives or sustainable practices your cluster has implemented:

Declaration and Terms
I declare that all information provided in this application is true and accurate. I understand that any false information may result in disqualification from the KJET program. I agree to the terms and conditions of the World Bank KJET Component 2 project.

KJET