SME START UP AWARD 2017



1. Company details

|Name of Enterprise: | |BRN: |

| | |Year Established: |

|Business Address: | |

|Contact Person: | |

|Contact Details: |Email: | Tel (Mobile): | Tel (Office): |

|Type of Business | |

|as Per BRN: | |

|Products/Services offered: | |

|No of Employees: |Total: | Local: |Expat: |

|Main Markets (%): |Local: | Export: |

|Annual Turnover Rs (m): |2017 |2018 |2019 |2020 (in progress) |

| | | | | |

|Net Profit: | | | | |

|Responsible Officer at SME Mauritius: | |

2. Schemes

Tick (✔) the scheme you want to apply for and its components.

|SCHEME |✔ |COMPONENT(S) |

|Internal Capability Development Scheme (ICDS) | | |

| | | |

|Technology and Innovation Scheme (TINNS) | | |

| | | |

|SME Marketing Support Scheme (MSS) | | |

| | | |

|Inclusiveness and Integration Scheme (INC) | | |

| | | |

|SME Utility Connection Assistance Scheme (UCA) | | |

| | | |

3.Self-Eligibility Check

(Please submit this completed form together with photocopy of your documents)

|Business Registration Card | |

|Valid Trade License, if applicable | |

|SME Registration Certificate | |

|Identity Card/s of all promoters/directors/owners | |

|Financial Statement (2019) | |

4.Declaration of Applicant

I certify that I am not in a pure trading activity

Please specify if you have benefited from any Government Sponsored Scheme since July 2019 as below:

Investment Support Programme Limited (ISP)

Development Bank of Mauritius Ltd (DBM)

State Investment Corporation (SIC)

SME Equity Fund

The purpose of data collection is to process the application.

I consent that you use, update and process the data and keep the details given to you in a database.

I undertake to inform SME Mauritius immediately of any changes in the personal data provided above.

I declare that to the best of my knowledge and belief the particulars given in this form are true and correct and that I or any other Director have not applied/benefited from any scheme/grant from SME Mauritius Ltd since June 2020.

I declare that neither SME Mauritius nor any of its Officers has influenced the choice of my Service Provider.

…………………………………….. …….. ………………………………

Authorised Signatory Date

……………………………………………..

Name Company seal

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