EMFF Operational Programme 2014-2020Seafood Processing Development Measure

Seafood Innovation & Business Planning Scheme

Application Form

Agriculture,Food and the Marine

Talmhaíochta, Bia agus Mara

Ireland’s EU Structural andInvestment Funds Programmes2014 - 2020

Co-funded by the Irish Governmentand the European Union

EUROPEAN UNIONThis measure is part-financed by the European Maritime and Fisheries Fund

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Seafood Innovation & Business Planning SchemeApplication Form – Part 1

SECTOR:

Select from the following: (Please tick ✔)

1. Seafood Industry Project

2. Public Project

(see brochure for defi nition)

PROJECT TITLE:

APPLICANT DETAILS

Company:

Address:

Contact Name:

Telephone:

E-mail Address:

FOR BIM USE ONLY

Project No. _________________________________________________________________________________

Project Leader ______________________________________________________________________________

Date Received ______________________________________________________________________________

2

Seafood Innovation & Business Planning SchemeCollective SupportTo be completed where the application involves the formation of a formal Collective.

Please provide the name and address of each individual member company.

Lead Partner/Co-ordinator*

1. Contact Name:

Company:

Address:

Address:

Tel:

Email:

Collective Members

2. Contact Name:

Company:

Address:

Address:

Tel:

Email:

3. Contact Name:

Company:

Address:

Address:

Tel:

Email:

4. Contact Name:

Company:

Address:

Address:

Tel:

Email:

*The Lead Partner will be the contact for all correspondence relating to the grant application.

3

Project Details

Rationale for the Innovative Project or Business Development

What are the Key Objectives of this Project (Max. 3)

What are the Main Challenges in the Project (Max. 3)

What is the Expected Outcome & Potential Value

4

Investment Details – Part 3Give details of the schedule of investment required to complete the project.

Cost Category Cost Sub Category Purpose and Description Amount €

TOTAL COST

GRANT RATE

5

Gantt chart (How to be implemented) (See attachment in this PDF)

ClientCom

pany

Nam

e

Task

12

34

56

78

910

1112

1314

1516

Letterofo

ffferReceived

Date

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Task2

Task3

Task4

Task5

Task6

Task7

Task8

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Task10

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6

How to ApplyThe completed application form should be:

1. Emailed to innovationscheme@bim.ie

2. In addition a signed, printed copy with supporting documentation should be posted to:

BIM Business Development & Innovation DivisionClogheenClonakiltyCo. Cork

Forms may also be downloaded from the BIM website www.bim.ie/schemes

Application and supporting documentation checklist1. Completed application form.

2. Quotes corresponding to expenditure listed in Financial Summary listed.

3. Gantt chart.

Applicant’s Declaration

I certify that the information given in this application form is accurate and agree to provide documentary evidence to support all or part of this information.

Certifi ed, on behalf of the applicant company by:

Date:

Position in company:

How BIM will use your informationInformation including PPSNs and other tax numbers used in the processing of this grant application will also be included in BIM’s end of year returns and disclosed to Revenue as set out in the Code of Practice for the Governance of State Bodies (Department of Finance 2009).

The information will also be used to form aggregated industry averages as required under commission decision EC/199/208.

Edition 01