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INSTRUCTIONS
1.
2. Type in the white spaces provided
3. ALL MUST
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NOTE:
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Disclaimer
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SECTION A: PROJECT SUMMARY
NAME OF BSI: TOTAL PROJECT COST: J$
BUSINESS NAME: REQUESTED AMOUNT: J$
BUSINESS ADDRESS: COUNTERPART FUNDING: J$
BUSINESS EMAIL ADDRESS: SOURCE OF CASH COUNTERPART:
BUSINESS TEL. NO: PREVIOUS INVESTMENT RECEIVED: J$
BUSINESS FAX NO:
NAME OF ENTREPRENEUR: PURPOSE OF GRANT:
TITLE/POSITION IN THE BUSINESS:
GENDER: տ Male տ Female
HOME ADDRESS:
TEL. NO:
EMAIL:
BANKER:
FINANCIAL INFORMATION
As at PROJECTED PROJECTED
TOTAL: 31 Mar 2018 Mar 2019 Mar 2020
REVENUE/SALES $ $ $
GROSS PROFIT $ $ $
GP MARGIN $ $ $
NET PROFIT $ $ $
BUSINESS ASSETS $ $ $
BUSINESS VALUE $ $ $
ESTIMATE AT END OF
INDICATORS FOR ECONOMIC IMPACT 24 MONTHS ($)
Value of Export (per annum)
Value of Investment (per annum)
Value of Sales (per annum)
Taxes Payable (per annum)
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Type of Innovation:
տ Product տ Process տ Service
No. of Local Outlets :
No. of Export Market/Region:
Location of Export Markets:
Application #:
PURPOSE OF THIS SUBMISSIONǣ
J$: ǣ
Name of Company
̈́
̈́
̈́
GRANT: EQUITY % OF PROJECT COST ǣ
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SECTION B: GENERAL INFORMATION
Applicant Details
B1 Your name (first and last name):
B2 Gender: տ Male տ Female
B3 Home Address:
B4 Telephone:
B5 Email:
B6 Your title/position in the company/business:
B7 Describe your primary business activity that has sustaining the business for the last 3-years:
SECTION C: GOVERNANCE OF THE APPLICANT
C1 Information on the Governance of the Applicant (and Partners)
In case of a consortium – the information must be provided by the main applicant/coordinator and by all
partners (repeat table as many times as needed).
Shareholders of first rank:
Name of shareholder Nationality/Legal residence % shareholding
C3 Board of Directors
(list below and attach individual CVs along with two types of identification for each member. Acceptable forms of
identification include passport, drivers licence or voter ID)
No. First and Last Name Nationality Gender Age
1
2
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SECTION D: OPERATIONAL CAPACITY OF THE APPLICANT
D1 Management Team
(list below and attach individual CVs along with two types of identification for each member. Acceptable
forms of identification include passport, drivers licence or voter ID)
# First and Last Name Role/Position in Citizenship PEP2 (Y/N) Gender Age
business/project
1
2
3
4
5
D3 Consultants/ Advisory Team/ Business Coach
(Involvement of consultants in the project should be justified and details provided below)
# First and Last Name Name of Company Duties of the Consultant
1
2
3
4
5
D4 What level of expertise do you and/or your team have in commercialisation of a product, project
management and/or business management?
If the team lacks commercial or management expertise, how will this be addressed? (300 words max)
D5 What relevant technical and business experience and qualifications does the team have? (max 400
words)
The applicant should provide the following documents as evidence of financial capacity:
տ Audited Financial Statements of the last financial year available and/ current financial
statements
տ Applicant Declaration notarized by a Justice of the Peace
տ In house financials for current year
E2 Explain why grant financing is necessary for your business/ innovation to succeed. What will this grant
enable your firm to achieve? (max 200 words)
2
Politically Exposed Persons - someone with prominent position or influence
29
E3 Provide details of any funds and/ or in-kind support that you will put towards your business/
innovation, or any funds/in-kind support that you have put towards your business/ innovation to date.
(200 words max)
Note: any funds and/ or in-kind support provided below must be clearly identifiable in the Budget and
Work Plan with its Item description related amounts
E4 Provide details of any funds and/or in-kind support that has been committed by donors/ investors/
other parties in the last four (4) years.
(include the name of the organisation, name of referee/contact person, the amount received, and the
year received, purpose and results) (200 words max)
տ Letters of commitment by co-financiers are attached
F3 How will your business/ innovation benefit the economy? How will this impact be quantified and
measured? (max 300 words)
G2 Growth Strategy: Indicate whether or not the company’s project can grow and scale globally. What are
the strategies which will be employed to create growth of the company for the next 5 years? You can
indicate multiple paths to achieving growth. Charts and/or infographics may be appended
(300 words max)
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G3 Regulatory approval. What licenses/permits does the project require for implementation? Which of
these have you already applied for/ obtained? Indicate the name of the regulatory agency/licensing
authority to which the application was made and reference number (if applicable).
What is the purpose of the permit and expiration date?
(max 200 words)
G4 Have you secured any intellectual property (IP) rights for your business/ innovation? If yes, describe
the status of the application and the country in which the application was filed. (max 200 words)
G5 Do you intend to utilise the grant towards IP protection and or securing licences? If yes, provide
details. (max 250 words)
H3 Target Market and Value Proposition: Describe the target market/ intended customers, and provide an
estimate in terms of size and value. What evidence is there that customers will pay for this technology/
product or service compared with similar market offerings? Describe any existing interest from potential
customers. (400 words max)
H4 Competition: Identify and describe potential and existing competitors in the market place. What are their
strengths and weaknesses? (400 words max)
H5 Competitive Advantage: What is your unique selling point? What makes your product/service more
compelling than existing alternatives or alternatives currently in development? (200 words max)
H6 Route to Market: What is the expected route to market and what channels will be used to reach
customers? Identify any potential customers/licensees that have been contacted. Have you identified any
relevant partnerships and connections that needs to be made?
(300 words max)
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H7 What are your promotional strategies? How will your target market be informed about your
product(s)/service(s)? (300 words max)
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1
2
3
SECTION K: IGNITE PROJECT
K1 Indicate the objectives of this project
(E.g. 10% increase in revenue by November 2019, e.g. 40% increase in number of units packaged weekly)
along with the results/outputs, indicators and targets. Objectives must be specific, measureable,
achievable, realistic and time bound (SMART).
You can list more than one result/output for each objective
Note: objectives listed below must be clearly identifiable in the Budget and Work Plan
Objective/Goal Results/Outputs Verifiable Indicator Target
1
2
3
4
5
K2 Budget and Work plan (Complete and attach the Budget and Work Plan template provided.)
The budget and work plan must be aligned with the objectives and results stated above. Be sure to state
your assumptions. Budget presented should incorporate assumptions that the grant received is $2.5M and
also the assumption that grant received is $4 M
SECTION L: TRAINING
L1 List the type of training you have received in the past 3 years.
Note: Activities listed here must be clearly identifiable in the Budget and Work Plan
(Add more rows if required )
# Name of Training Programme Name of Institution Date Received
1
2
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3
4
5
L7 Indicate what type of training you would like to receive from your BSI/incubator in the next 24 months. (Add
more rows if required)
Name of Training Programme
1
2
3
4
5
L2 Indicate what type of services you have received or will receive from your BSI/incubator :
# Service(s) Date Received/To be received
1
2
3
4
5
POSITION: DATE:
EMAIL: PHONE:
POSITION: DATE:
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SECTION O: ENVIRONMENTAL RISK MANAGEMENT CHECKLIST
As adapted from the FCGP Project Operational Manual
Certain projects are not eligible for financing because they are listed under the Exclusion List shown
below. Those project activities include:
Excluded activity Y/N
ͳǤ
ǡ
2.
ȀͶǤͲͳ
ȋA proposed project is classified as Category A if it is likely to have significant adverse
environmental impacts that are sensitive, diverse, or unprecedented. These impacts may
affect an area broader than the sites or facilities subject to physical works. Environmental
Assessment (EA) for a Category A project examines the project's potential negative and
positive environmental impacts, compares them with those of feasible alternatives (including
the 'without project' situation), and recommends any measures needed to prevent, minimize,
mitigate, or compensate for adverse impacts and improve environmental performance. For
a Category A project, the borrower is responsible for preparing a report, normally an
Environmental Impact Assessment (EIA) (or a suitably comprehensive regional or sectorial
EA) that includes, as necessary, elements of the other instruments referred to in paragraph
7 of Operational Policy 4.01)
͵Ǥ
ͶǤ
ͷǤ
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ͳͲǤ ȋ Ȍ ͵
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3This does not apply to companies for which the operations/activities related to these criteria comprise less than 10 percent of
companies total annual revenue
4 This does not apply to companies for which the operations/activities related to these criteria comprise less than 10 percent of
ͳͷǤ ͺ
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7 This does not apply to the purchase of medical equipment, quality control (measurement) equipment and any equipment where
it can be demonstrated that the radioactive source is to be trivial and/or adequately shielded
8 This does not apply to the purchase and use of bonded asbestos cement sheeting where the asbestos content is <20%.
9 Primary forest is defined as relatively intact forest that has been essentially unmodified by human activity for the previous 60 to
80 years; and Tropical moist forest is generally defined as forest in areas that receive not less than 100 mm of rain in any month
for two out of three years and have an annual mean temperature of 24 0 C or higher.
10 Pharmaceutical products subject to phase outs or bans in United Nations, Banned Products: Consolidated List of Products
Whose Consumption and/or Sale Have Been Banned, Withdrawn, Severely Restricted or not Approved by Governments. (Last
version 2001, www.who.int/medicines/library/qsm/edm-qsm-2001-3/edm-qsm-2001_3.pdf)
11Pesticides and herbicides subject to phase outs or bans included in both the Rotterdam Convention (www.pic.int) and the
the widely publicized ‘ozone holes’. The Montreal Protocol lists ODSs and their target reduction and phase out dates. The
chemical compounds regulated by the Montreal Protocol includes aerosols, refrigerants, foam blowing agents, solvents, and fire
protection agents. (www.unep.org/ozone/montreal.shtml).
13 Define by the Basel Convention (www.basel.int).
14 Defined by the International Convention on the reduction and elimination of persistent organic pollutants (POPs)(September
1999) and presently include the pesticides aldrin, chlordane, dieldrin, endrin, heptachlor, mirex, and toxaphene, as well as the
industrial chemical chlorobenzene (www.pops.int) 36
15
Fundamental Principles and Rights at Work means (i) freedom of association and the effective recognition of the right to
collective bargaining; (ii) prohibition of all forms of forced or compulsory labor; (iii) prohibition of child labor, including
without limitation the prohibition of persons under 18 from working in hazardous conditions (which includes construction
activities), persons under 18 from working at night, and that persons under 18 be found fit to work via medical examinations;
(iv) elimination of discrimination in respect of employment and occupation, where discrimination is defined as any distinction,
exclusion or preference based on race, color, sex, religion, political opinion, national extraction, or social origin. (International
Labor Organization: www.ilo.org)
16 In addition to in-country designated areas, other areas include: natural World Heritage Sites (defined by World Heritage
Convention, http://whc.unesco.org/nwhc/pages/doc/main.htm.), United Nations List of National Parks and Protected Areas,
designated wetlands of international importance (defined by RAMSAR Convention, www.ramsar.org), or selected areas (e.g.,
strict nature reserves/wilderness areas, natural parks, natural monuments or habitat/species management areas) defined by IUCN
(International Conservation Union, www.iucn.org).
SECTION P: IGNITE MSE’S Project Eligibility Checklist
Project Name:
Registered Business Name:
Name Trading as:
Ǥ
ȋ
YȌ
Ǥ
Ǥ
͵
Eligibility Criteria Y/N or Comments from BSIs
NA (where applicable explain how determined)
ͳǤ The product or service is an innovation as
defined in the Glossary of the Operational
Manual.
ʹǤ The product or service is being tested, (this is not applicable for projects at Idea Stage)
market ready and ready for production
and commercialization
ȋthis is not applicable for projects at Idea StageȌ
͵Ǥ Skills required to implement this project
are in place and or have already been
identified/sourced
ͶǤ The product/service being developed is
environmentally friendly
ͷǤ The entrepreneur is/will be operating in
one of the eligible categories defined in the
Operational Manual
Ǥ The enterprise is categorized as micro or
ǣ
small according to the definition in տ տ
Glossary of the Operational Manual
Ǥ The Company is a NEWLY incorporated
business – registered for at least 1-year
ͺǤ The Company is registered with the ͓ǣ
Companies Office of Jamaica. Copy of
ȋǦǦȌǣ
Certificate of Incorporation must be ȋǦǦȌǣ
submitted.
ǣտտ
ͻǤ Company has a business Tax Registration
Number (TRN) ͓ǣ
ͳͲǤ Company has Tax Compliance Certificate (this is not applicable for projects at Idea Stage)
or is willing to acquire TCC during the ͓ǣ
project. Copy of valid Tax Compliance ǣ
Certificate/Letter must be submitted. Ȁǣտտ
Where tax compliance was not met at ǣ
application, the applicant must provide
evidence of a valid TCC within 6 months
after signing their agreement with DBJ.
ȋthis is not applicable for projects at Idea StageȌ
ͳͳǤ The business is or will be operating in Ȁ
Jamaica
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Eligibility Criteria Y/N or Comments from BSIs
NA (where applicable explain how determined)
ͳʹǤ Entrepreneur is/has been a registered
member of the BSI’s incubator – accessing Ȁǣ
physical or virtual incubation services.
ͳ͵Ǥ The grant required is less than or equal to
J$4M
ͳͶǤ Grant funds being requested constitute
70% or less of the project cost (the funds
required to commercialize the product)
ͳͷǤ The intended use of funds is in line with the
list of eligible costs listed outlined in the
Operational Manual.
ͳǤ The applicant is actively seeking funding to
commercialise the product or service.
ͳǤ Proof of other funding source for the Ȁ
Ƭ
project (commitment letter, bank
statements etc.) is available or can be made
available within 30 days of obtaining grant
approval.
ͳͺǤ The company has the ability to create Ȁ
additional employment within 2 years of
being awarded the grant
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APPLICANTS’ CHECKLIST
ǣ
տ
տ
տ Ȁ
տ
ȋʹȌ
տ
ȋPassport, Drivers licence, Voters IDȌ
տ
ȋʹȌ
տ
ȋPassport, Drivers lic., Voters IDȌ
տ
տ
տ ȋ Ȍ
տ
տ ȋͻͲȌ Ȁ
տ Ȁ
տ ǯ
տ
տ
Ǧ
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APPENDIX E - MSE’S BUSINESS MODEL CANVAS
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APPENDIX F - MSE BUDGET AND WORK PLAN
IGNITE BUDGET
Business Name: Company Name
Financial reports must be completed on a quarterly basis as agreed with the DBJ.
Where supporting documents have not been previously submitted, the related copy invoices, receipts, negotiated cheques and/or other relevant support for expenditure completed in the period must accompany
each report and your request for disbursement.
PHASE
Other
Applicant 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
PLANNING
Donors
X X X
X X X X X X X X X X X
X X X X X X X X X X X
X X X X X X X X X X
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APPENDIX G - STAGES IN IGNITE COMMERCIALIZATION PROCESS
5 Product Development Perfecting the technical aspects and making plans to produce and distribute
the product.
4 Market Testing Prototypes developed for market testing are release in select areas to
determine whether the product sells well, and evaluate why sales are high
or low. The price and the effectiveness of the marketing messages are
evaluated. This may also include a small launch to help determine what
needs to be done before an official launch. Adjustments are done to the
prototype or a new version developed (if necessary).
3 Prototype Development A prototype of the product is developed and shared with a handful of
customers and key partners for feedback. The feedback is used to craft
marketing messages and developing marketing campaign ideas, such as
email campaigns, websites, billboards or posters,
2 Screen/Pitching Idea Screening helps evaluate an idea and measure its potential benefits and
problems. From there, a decision can be made about an idea’s future.
1 Idea Creation Idea Generation and Mobilization: New ideas are created during idea
generation. Mobilization occurs when the idea is moved to a different
physical or logical location, such as an outside firm or another department
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