Apply Form


Applications for Cycle 5 are now open.

Open for Submission: Monday 9 November 2020
Deadline for Submission: Monday 21 December, 11pm IST

Explanatory Notes

  • Please ensure you have all the required information and files ready and available before starting this form
  • Once you have submitted your proposal you will receive a confirmation email from us
  • For more information on UJIA Si3 criteria please visit our website
  • Please direct any questions about the application form to

Sections of the Application

  1. Online form
  2. Attachments – All required attachments must be uploaded at the end of this form.
    1. Budget Breakdown Download and Complete the UJIA Si3 Excel template. Please only use this version. Click here to download.
    2. A Short 90 Seconds Video telling us about yourself, your initiative and the anticipated social value it generates. A video on a mobile device is ideal.

For us to best understand your proposal, please tell us what type of enterprise you are:

  • Impact Tech

  • Business with a social impact model

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  • Charity/NGO with a business initiative

  • Other

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