anmpapplicationform_round 2_word_ web_march2013 · web viewthe automotive new markets program ......

Automotive New Markets ProgramApplication Form – Round 3

Before you beginPlease make sure you have read the Automotive New Markets Program Ministerial Guidelines 2012 and that you meet the eligibility criteria before completing the application form. It is available at www.innovation.gov.au/anmp.Do not modify the wording or format of this form. If the application is not complete or layout of the form has been modified, it may not be accepted.All questions are mandatory unless otherwise stated and must be completed before you can submit your application.The application contains the following sections: Eligibility Applicant details and company background Project details Merit criteria Project costs Project milestones Project intellectual property Risk management strategy Attachments Declaration

About the Automotive New Markets ProgramThe Automotive New Markets Program (ANMP) is a $42 million competitive merit based grants program. It is jointly funded by the Australian Government as one element of the Automotive New Markets Initiative under A New Car Plan for a Greener Future and the Victorian Government. It commenced in 2012-13 and will run for four years. The ANMP was developed by the Australian, Victorian and South Australian governments and is administered by the Australian Government Department of Industry, Innovation, Climate Change, Science, Research and Tertiary Education (‘the Department’).

Application processApplications under the ANMP will be assessed in rounds. The opening of application rounds will be advertised nationally. Applications will not be accepted after the closing date. It will not be possible to include any new material or make significant changes to the application after the closing date. Applicants may be asked to provide additional information or clarification to their original applications.A grant must be for a minimum of $50,000 and up to a maximum of $1 million. A grant will be limited to a maximum of two years.Applications must be submitted electronically to [email protected] by 13 September 2013.

mailto:[email protected]

http://www.innovation.gov.au/anmp

Further informationFor further information please consult the ANMP Ministerial Guidelines 2012 and the ANMP Questions and Answers available at www.innovation.gov.au/anmp or contact the Automotive Programs Section, Department of Industry, Innovation, Climate Change, Science, Research and Tertiary Education on +61 2 6276 1141 or [email protected].

ConfidentialityApplications to the ANMP will, in their entirety, be treated as ‘commercial-in-confidence’. Access to applications will be on a limited need-to-know basis unless the Department is required by law to provide such access.


http://www.innovation.gov.au/anmp

EligibilityPlease make sure you meet the following eligibility criteria.

Are you a non-tax exempt company that is registered for the Goods and Services Tax?

Yes No

Are you, and will you continue to be for the life of the grant, one of the following? (Please select at least one) Definitions of automotive components, automotive tools and tooling, and automotive services are those set out in regulations 1.7 to 1.10 of the Automotive Transformation Scheme Regulations 2010.Please note you do not need to be registered in the Automotive Transformation Scheme.

an Australian producer of automotive components

an Australian producer of automotive machine tools or tooling

an Australian provider of automotive services

Do you, and will you continue for the life of the grant, supply an original equipment manufacturer?The definition of original equipment is that set out in regulation 1.5 of the Automotive Transformation Scheme Regulations 2010.

Yes No

Have you undertaken and completed an arm’s length business capability development activity to improve your competitiveness and business capability that has resulted in the implementation of at least one improvement to your business?

Yes No

Can you demonstrate that you:

can fund the costs of your project which are additional to the grant sought;

Yes No

have a genuine need for financial assistance to undertake the project; and

Yes No

have access to, or the beneficial use of, any intellectual property necessary to carry out and commercialise the project?

Yes No

If you have not answered yes to all of the questions above, you are not eligible to apply for the ANMP. For further details please consult the ANMP Ministerial Guidelines 2012 or contact [email protected].


http://www.comlaw.gov.au/Search/automotive%20transformation%20scheme




Business capability developmentPlease describe the business capability development activity your company undertook which led to the implementation of at least one improvement within your business. (maximum 3000 characters)

Insert the business capability development activity your company has undertaken

Applicant details and company backgroundAustralian Business Number (ABN) Insert ABN

Australian Company Number (ACN) Insert ACN

Registered business name Insert registered business name

Trading name/s (if trading under a name other than the registered business name)

Insert trading name/s

Date of incorporation Insert date of incorporationdd/mm/yyyy

Country of incorporation Insert country of incorporation

How many people do you employ? Insert number of employees

Please describe your company’s current core business (maximum 3000 characters)

Insert your company’s current core business here

Related bodies corporateDo you, or will you, have any related bodies corporate? Yes No

If yes, provide details of your ultimate holding company

Legal name Insert legal name of your ultimate holding company

Country of incorporation Insert company of incorporation for your ultimate holding company

Is the holding company a motor vehicle producer?

Yes No

Attach a diagram of your company group—showing name and country of incorporation of each body, the relationships and relative shareholdings within the group.

Shareholders List shareholders in your company, the percentage of issued capital each holds and whether each shareholder is an Australian resident or an Australian controlled entity. Where there are more than 10 shareholders, list only the top 10.

Name of shareholder Percentage of issued capital held by shareholder

Is the shareholder an Australian resident/controlled entity?(Yes/No)

Insert first shareholder’s name

Insert percentage of issued capital held by first shareholder

Yes No

Insert second shareholder’s name

Insert percentage of issued capital held by second shareholder

Yes No

Insert third shareholder’s name

Insert percentage of issued capital held by third shareholder

Yes No

Insert fourth shareholder’s name

Insert percentage of issued capital held by fourth shareholder

Yes No

Insert fifth shareholder’s name

Insert percentage of issued capital held by fifth shareholder

Yes No

Insert sixth shareholder’s name

Insert percentage of issued capital held by sixth shareholder

Yes No

Insert seventh shareholder’s name

Insert percentage of issued capital held by seventh shareholder

Yes No

Insert eighth shareholder’s name

Insert percentage of issued capital held by eighth shareholder

Yes No

Insert ninth shareholder’s name

Insert percentage of issued capital held by ninth shareholder

Yes No

Insert tenth shareholder’s name

Insert percentage of issued capital held by tenth shareholder

Yes No

100%

AddressBusiness street address (Head Office)

Address Insert the street address of your head office

Suburb/Town Insert the suburb of your head office is located in

State Insert the state your head office is located in

Postcode Insert the postcode your head office is located in

Business website address (if applicable) Insert your business website address

Business e-mail address (if applicable) Insert your business e-mail address

Is your mailing address the same as the Head Office address above?Yes No

If no, please fill in the mailing address below.

Address Insert the street address of your postal address

Suburb/Town Insert the suburb of your postal address

State Insert the state of your postal address

Postcode Insert the postcode of your postal address

Is the address of where the project will be conducted the same as the Head Office address?

Yes No

If no, please fill in the address where the project will be conducted below.

Address Insert the street address of your postal address

Suburb/Town Insert the suburb of your postal address

State Insert the state of your postal address

Postcode Insert the postcode of your postal address

Primary contactGiven name(s) Insert the given name of your primary

contact

Family name Insert the family name of your primary contact

Postal address Insert the postal address of your primary contact

Postal address (optional) Insert the postal address of your primary contact

Suburb/Town Insert the suburb/town of your primary contact

State Insert the state of your primary contact

Postcode Insert the postcode of your primary contact

Telephone Inset the telephone number of your primary contact

Mobile Insert the mobile telephone number of your primary contact

e-mail address (if applicable) Insert the e-mail address of your primary contact

Consortium/collaborative projectsAre you the lead applicant applying on behalf of a consortium or collaborative group?

Yes No

If yes, provide the name and organisation type for all consortium/group members. (Please insert more rows if need)

Insert organisation name Insert the organisation type for the first consortium/group member



Project details

Project title Please provide a straightforward concise project title, not a descriptive sentence, suitable for publicity purposes. If the application is successful, this title may be used in published material

Insert project title

Project descriptionBriefly summarise your project. Please include details on the new product/service you are developing or the new customer/s you will be targeting, progress you have made so far with the project and the project outcome—i.e. what does the project ultimately intend to achieve. Please describe your entire project including those parts that may not be eligible for ANMP assistance. If easily distinguishable, please describe the parts of the project that will be eligible for funding under the ANMP (maximum 4000 characters)

Insert project description

Eligible project activitiesPlease select the eligible activities you will be undertaking as part of the project. (Your project must include one or more of these activities to be eligible for assistance under the ANMP)

Research and development Re–tooling Proof–of–concept Early–stage commercialisation Pre–production development Imbedding of Australian automotive design and engineering employees Other (please specify)

Insert response if Other

Project durationPlease note the project start date cannot be before the offer of a grant is made and a project cannot be for more than two years. Grant funding for round 3 will commence from October 2013.

Start date Insert the project start date dd/mm/yyyy

End date Insert the project end date dd/mm/yyyy

Merit Criteria

Note to applicants: Please use text only in the response boxes provided. Please do not copy and paste images in the response boxes.

Criterion 1How will your project help the ANMP meet its objective to assist Australian automotive supply chain companies broaden their customer and product base, both domestically and internationally, by either:

supplying new products or services to customers in the domestic or international automotive industry; or

supplying products or services to new customers in international or domestic non-automotive industries? (maximum 6000 characters)

Your response should clearly state the outcome/s you expect from this project.In addition, where applicable, your response should address:

The product/service your project will deliver. The activities you will undertake to broaden your product and/or customer

base. How your project broadens the automotive supply chain’s customer and/or

product/service base. Who are your target customers? Which industries will benefit from your product/service. The gap/s your product/service will be addressing in the target industry, i.e.

what is new or innovative about your product.

Insert response to criterion 1

Criterion 2Please describe your capacity and capability to undertake the project. (maximum 6000 characters)

Where applicable, your response should address:

Your existing capacities and capabilities to undertake the project. Include a description of the key people who will be working on the project and their responsibilities.

What new capacity, capability and/or expertise you will develop to undertake the project and how you will go about doing this.

Your company’s future direction. How the project aligns with this direction. How you will balance moving into a new product/service or supplying to new

customer/s with continuing your current operations. What your company will

do to integrate new products/services or customers with your company’s current product/service and customer base.

Does your company have a proven record of being able to implement changes in the organisation? If yes, please give examples. If no, please describe how you will manage the change process.

Financial capability—how has your company performed financially in recent years? Discuss growth, turnover and profitability. Explain any significant decline or improvement in each.


Criterion 3How will your project contribute to the economic sustainability of your company? (maximum 4800 characters)


How the project will improve the sustainability of your company. Who your current customers and suppliers are. Who your future customers

and suppliers will be. Will they benefit from this project? [It is recommended that where appropriate you provide letters of support in the ‘attachments’ section from current/potential customers and suppliers].

How the project will sustain your company’s manufacturing operations in Australia


Criterion 4How will your project contribute to the economic sustainability of the Australian automotive supply chain and the broader economy? (maximum 4800 characters)


Who else will benefit from the project? Does the project benefit other Australian companies and/or automotive suppliers?

What new skills, capabilities and investment your project brings to Australia. How the project contributes to the sustainability of the Australian automotive

supply chain. The impact the project will have on maintaining manufacturing capability in

Australia. How the project makes your business and the Australian automotive industry

more competitive.

What employment outcomes the project will generate. Does the project allow you to employ new staff or retain existing staff that would not have been retained otherwise?

Any collaboration with industry or research organisations that will benefit the Australian economy.

Any other benefits to the Australian automotive industry and the Australian economy.

[It is recommended that where appropriate you provide letters of support in the ‘attachments’ section from current/potential customers and suppliers].


Need for government assistancePlease give a short explanation as to why government assistance is needed for this project and the consequences of the project not being supported by the ANMP. (maximum 3000 characters)

Insert explanation as to why government assistance is needed for this project

Project costsPlease note all figures should be GST exclusive.

Project eligible expenditurePlease outline how much will be spent on each eligible expenditure item and provide a description of what that expenditure will be used for.

Expenditure type 2013-14 2014-15 2015-16 Total

Labour (A$) Insert labour expenditure for 2013-14

Insert labour expenditure for 2014-15

Insert labour expenditure for 2015-16

Insert labour expenditure total for 2013-2016

Please describe what the labour expenditure will be used for. (maximum 3000 characters)

Insert description of labour expenditure


Contractors (A$) Insert contractor expenditure for 2013-14

Insert contractor expenditure for 2014-15

Insert contractor expenditure for 2015-16

Insert total contractor expenditure for 2013-16

Please describe what the contractor expenditure will be used for. (maximum 3000 characters)

Insert description of contractor expenditure


Plant and equipment (A$)

Insert plant and equipment expenditure for 2013-14



Insert total plant and equipment expenditure for 2013-16

Please describe what the plant and equipment expenditure will be used for. (maximum 3000 characters)

Insert description of plant and equipment expenditure


Tooling (A$) Insert tooling expenditure for 2013-14

Insert tooling expenditure for 2014-15

Insert tooling expenditure for 2015-16

Insert total tooling expenditure for 2013-16

Please describe what the tooling expenditure will be used for. (maximum 3000 characters)

Insert description of tooling expenditure


Prototype (A$) Insert prototype expenditure for 2013-14

Insert prototype expenditure for 2014-15

Insert prototype expenditure for 2015-16

Insert total prototype expenditure for 2013-16

Please describe what the prototype expenditure will be used for. (maximum 3000 characters)

Insert description of prototype expenditure


IP protection (A$) Insert IP protection expenditure for 2013-14

Insert IP protection expenditure for 2014-15

Insert IP protection expenditure for 2015-16

Insert total IP protection expenditure for 2013-16

Please describe what the IP protection expenditure will be used for. (maximum 3000 characters)

Insert description of IP protection expenditure


Other eligible expenditure (A$)

Insert other eligible expenditure for 2013-14



Insert total other eligible expenditure for 2013-16

Please describe what the other eligible expenditure will be used for. (maximum 3000 characters)

Insert description of other eligible expenditure

Total project expenditure Financial year 2013-14 2014-15 2015-16 Total

Project eligible expenditure (A$)

Insert project eligible expenditure for 2013-14




Project ineligible expenditure (A$)

Insert project ineligible expenditure for 2013-14




Financial year 2013-14 2014-15 2015-16 Total

Total project expenditure (A$)

Insert total project expenditure for 2013-14




GrantFinancial year 2013-14 2014-15 2015-16 Total

ANMP grant sought (A$)

Insert ANMP grant sought for 2013-14



Insert total ANMP grant sought for 2013-16

Source of fundingPlease outline how the project will be funded. Include ANMP grant funds and any other grants you have applied for to support the project. (Please insert more rows if needed).

Source 2013-14 2014-15 2015-16 Total

Insert source of funding

Insert amount of funding from first source for 2013-14



Insert total amount of funding from first source for 2013-16


Insert amount of funding from second source for 2013-14



Insert total amount of funding from second source for 2013-16


Insert amount of funding from third source for 2013-14



Insert total amount of funding from third source for 2013-16

Project milestonesPlease describe key milestones that can be used in order to monitor the progress of your project. Include key deliverables that will be used to assess whether a milestone has been achieved. Milestones and deliverables should be linked to the outcome of the project as identified in addressing criterion 1 of the merit criteria. Grant payments will be made quarterly in arrears upon receipt of evidence of milestones being met and expenditure incurred. (Please note there is a minimum of 4 and maximum of 15 milestones. Please insert rows as needed)

Milestone description

Deliverables Start date (dd/mm/yyyy)

Completion date (dd/mm/yyyy)

Insert first milestone

Insert deliverables for the first milestone

Insert start date of milestone one

Insert completion date of milestone one

Insert second milestone

Insert deliverables for the second milestone

Insert start date of milestone two

Insert completion date of milestone two

Insert third milestone

Insert deliverables for the third milestone

Insert start date of milestone three

Insert completion date of milestone three

Insert fourth milestone

Insert deliverables for the fourth milestone

Insert start date of milestone four

Insert completion date of milestone four

Insert fifth milestone

Insert deliverables for the fifth milestone

Insert start date of milestone five

Insert completion date of milestone five

Insert sixth milestone

Insert deliverables for the sixth milestone

Insert start date of milestone six

Insert completion date of milestone six

Insert seventh milestone

Insert deliverables for the seventh milestone

Insert start date of milestone seven

Insert completion date of milestone seven

Insert eighth milestone

Insert deliverables for the eighth milestone

Insert start date of milestone eight

Insert completion date of milestone eight

Insert ninth milestone

Insert deliverables for the ninth milestone

Insert start date of milestone nine

Insert completion date of milestone nine

Insert tenth milestone

Insert deliverables for the tenth milestone

Insert start date of milestone ten

Insert completion date of milestone ten

Milestone description

Deliverables Start date (dd/mm/yyyy)

Completion date (dd/mm/yyyy)

Insert eleventh milestone

Insert deliverables for the eleventh milestone

Insert start date of milestone eleven

Insert completion date of milestone eleven

Insert twelfth milestone

Insert deliverables for the twelfth milestone

Insert start date of milestone twelve

Insert completion date of milestone twelve

Insert thirteenth milestone

Insert deliverables for the thirteenth milestone

Insert start date of milestone thirteen

Insert completion date of milestone thirteen

Insert fourteenth milestone

Insert deliverables for the fourteenth milestone

Insert start date of milestone fourteen

Insert completion date of milestone fourteen

Insert fifteenth milestone

Insert deliverables for the fifteenth milestone

Insert start date of milestone fifteen

Insert completion date of milestone fifteen

Project intellectual propertyDescribe your access to and rights in the IP needed for the project. You may attach any evidence here (maximum 2000 characters)

Insert description of your access to and rights in the IP needed for the project

Please attach any evidence. Each file can be up to a total of 2 MB in size. Maximum 2 attachments.

Risk management strategyPlease identify key risks associated with the project. Please enter at least two risks up to a maximum of eight.

Impact key

Low Will have little impact on the outcomes of the project

Medium Will have some impact on the outcomes of the project but will not stop the project from proceeding

High Will alter the project outcomes significantly and may stop the project from proceeding

Risk Likelihood before implementation of mitigation strategies(unlikely, possible, likely, almost certain)

Impact before implementation of mitigation strategies(low, medium, high)

Mitigation strategies Likelihood after implementation of mitigation strategies(unlikely, possible, likely, almost certain)

Impact after implementation of mitigation strategies(low, medium, high)

Insert risk one Insert likelihood of risk one occurring before implementation of mitigation strategies

Insert impact of risk one before implementation of mitigation strategies

Insert mitigation strategies for risk one

Insert likelihood of risk one occurring after implementation of mitigation strategies

Insert impact of risk one after implementation of mitigation strategies

Risk Likelihood before implementation of mitigation strategies(unlikely, possible, likely, almost certain)

Impact before implementation of mitigation strategies(low, medium, high)

Mitigation strategies Likelihood after implementation of mitigation strategies(unlikely, possible, likely, almost certain)

Impact after implementation of mitigation strategies(low, medium, high)

Insert risk two Insert likelihood of risk two occurring before implementation of mitigation strategies

Insert impact of risk two before implementation of mitigation strategies

Insert mitigation strategies for risk two

Insert likelihood of risk two occurring after implementation of mitigation strategies

Insert impact of risk two after implementation of mitigation strategies

Insert risk three Insert likelihood of risk three occurring before implementation of mitigation strategies


Insert mitigation strategies for risk three

Insert likelihood of risk three occurring after implementation of mitigation strategies

Insert impact of risk three after implementation of mitigation strategies

Insert risk four Insert likelihood of risk four occurring before implementation of mitigation strategies


Insert mitigation strategies for risk three

Insert likelihood of risk four occurring after implementation of mitigation strategies

Insert impact of risk four after implementation of mitigation strategies

Attachments

Mandatory attachmentsBusiness plan

A business plan should detail strategies that will enable you to carry on sustainable operations in the Australian automotive industry. Where appropriate, it should include your company’s strategic/future direction, operational plans, details of financial commitment and controls, and any projections and assumptions (including financial) on which the project is based.

Please attach business plan. Each file can be up to a total of 2MB in size. Maximum 1 attachment.

(optional) Project commercialisation plan (If developing a new product) or customer strategy (if targeting new customers). The project commercialisation plan and/or customer strategy may be included as part of the business plan.

A project commercialisation plan should set out the commercialisation potential of your product and your company’s commercialisation strategy. It should include information such as: what is driving demand, what market research and consultation you have undertaken and what the results were, what work has been done to test demand (attach relevant supporting documents), competitor analysis, route to market, plans to match/beat competitors, estimated market share and barriers to market entry.

A customer strategy should include information such as: customers you are targeting, their interest in your product, how you will meet the customers’ needs, a long-term strategy to attract new customers and retain the current customers, and estimated length of relationship with a customer.

Please attach commercialisation plan or customer strategy. The file can be up to a total of 2MB in size. Maximum 1 attachment.

Financial statements for last financial year. Please only include summary documents such as profit and loss statement, balance sheet, etc. Please attach financial statements. The file can be up to a total of 4MB in size. Maximum 2 attachments

Additional attachmentsPlease attach any additional attachments you have included to support your application. Attach any letters of support mentioned in your response to the merit criteria here.

Please attach any additional attachments. The file can be up to a total of 10MB in size. Maximum 5 attachments.

DeclarationI declare that I have read and understood the Automotive New Markets Program Ministerial Guidelines 2012. I confirm that this application has been prepared in accordance with the Ministerial Guidelines.

I understand that I may be requested to provide further clarification or documentation to verify the information supplied in this form.

I understand that in submitting this application I give permission to the Department to access confidential information from the business capability support service provider who assisted with the business capability development activity described in this application. I confirm that I have the authority to give this permission.

I understand that applications to the ANMP will, in their entirety, be treated as ‘commercial-in-confidence’ and that access to applications will be on a limited need-to-know basis unless the Department is required by law to provide such access

I understand that the Department may during the application process and the course of the ANMP consult with other Commonwealth, State and Territory agencies about an applicant’s claims. I understand that the Department may also enlist technical, financial (including auditors), economic or industry advice from external experts, the provision of which must also be subject to stringent confidentiality provisions.

I understand that, if the application is successful, the applicant must enter into a written agreement with the Commonwealth of Australia within 30 days of being notified of the application’s success.

I understand and acknowledge that ANMP funding is provided to fund projects that lead to the manufacture of new or additional products by the successful applicant/grantee and/or the acquisition of at least one new or additional customer whom the successful applicant/grantee has not previously supplied to for commercial purposes.

I declare that I have checked this application and to the best of my knowledge all details are correct at the time of submission.

I understand that providing false or misleading information to the Commonwealth is an offence under the Criminal Code Act 1995.

I accept to the terms and conditions above and hereby declare that all information is true and correct.

Given name(s) Insert given name

Family name Insert family name

Position Insert position

Relationship to applicant Insert relationship to applicant

Email Insert email address

Date dd/mm/yyyy

Please keep a copy of this form as submitted for your records.

anmpapplicationform_round 2_word_ web_march2013 · web viewthe automotive new markets program ......

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