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SECTION A: CATEGORY SELECTION

WHICH CATEGORY IS YOUR APPLICATION FALL FROM *

Rural and Community-Based Water Projects
Second ChoiceCorporate & Governance Commitment to Urban Water Sustainability
Youth and Emerging Leadership in the Water Sector
Innovation in Water Technologies

Applicants must ensure the selected category reflects the primary contribution of the initiative. Misclassified applications may be screened out.

SECTION B: APPLICANT DETAILS

Application Type

Individual
Organisation
Municipality
Partnership

Full Name (Individual or Organisation)

Registration Number (if applicable)

Year Established (if applicable)

Contact Person

Position / Role

Email Address *

Contact Number *

Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

SECTION C: PROJECT / INITIATIVE OVERVIEW

Title of Project / Initiative *

Location of Implementation *

Project Duration (Start Date – End Date / Ongoing) *

Water Challenge Addressed (brief description) *

Objectives of the Project / Initiative *

SECTION D: IMPLEMENTATION & IMPACT

Conceptual, planned, or proposal-only initiatives without real-world implementation are not eligible

Describe what has been IMPLEMENTED to date *

(Include dates, locations, scale, and partners involved)

Primary Beneficiaries *

Measurable or Observable Outcomes Achieved (figures where possible) *

How is impact monitored or verified? *

Measurable or Observable Outcomes Achieved to Date *

(At least one outcome is required. Quantitative data preferred where available.)

SECTION E: CATEGORY-SPECIFIC INFORMATION

Rural & Community-Based Projects: Community involvement and empowerment

Corporate & Governance Commitment (Urban), Policy / programme underpinning the initiative, Leadership and governance accountability

Youth & Emerging Leadership: Leadership role and key contributions

Innovation in Water Technologies:

Description and current stage (prototype/pilot/implementation)

Innovation in Water Technologies (Category 4)

1. Technology Description

Describe the technological solution clearly, including: Core technology (hardware, software, material, process, or engineered system) & What makes it innovative

2. Stage of Development (Select one and describe) *

Laboratory prototype
Field prototype
Pilot project
Utility / municipal trial
Early commercial deployment

Provide brief evidence supporting the selected stage

3. Novelty Statement

Explain how this technology: • Goes beyond standard industry practice, OR • Applies existing technology in a materially new way in the South African context

4. Testing and Demonstration

Describe where, when, and how the technology has been tested or demonstrated in real-world conditions.

5. Regulatory and Safety Awareness

Water quality standards
Environmental requirements
Health and safety considerations

Confirm awareness of applicable

Briefly explain (regulatory approval not required at this stage):

SECTION F: SUSTAINABILITY & FUTURE POTENTIAL

How will the initiative be sustained over time?

Is the solution scalable or replicable?

Key lessons learnt or challenges addressed