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Facilitation of Teleworking Activities Business Development and Continuity SchemeApplication & Claim FormNotes to ApplicantsThis form is to be used by undertakings requesting support through the call addressing the facilitation of Teleworking Activities which provides financial assistance for employers to invest in technology to enable teleworking arrangements for employees who can carry out work from their residence. The rules governing this scheme are the latest published Incentive Guidelines of the Business Development and Continuity Scheme as enabled by the Enterprise Support Incentives Regulations as subsidiary legislation 463.04 to the Malta Enterprise Act.The quality of the information provided in this Application will impact the time Malta Enterprise will need to process your request. You should hence make sure that your entries are clearly explained and substantiated and that sufficient detail is provided.Malta Enterprise shall only accept electronically filled in forms using either the Maltese or English languages: only these forms shall be processed.This Form and any attached documents will be treated as confidential.In processing this Application Form, Malta Enterprise may request further information and documentation. Forms should be submitted along with supporting documentation to covid@. This form should be submitted as a word document, yet you should print the last of this document, sign, scan and include a copy of the scan with the submission. Malta Enterprise will be accepting applications until 8th May 2020. If the submitted application is approved, the project will benefit from de minimis State Aid in line with Commission Regulation (EU) No 1407/2013 of 18 December 2013 on the application of Articles 107 and 108 of the Treaty on the Functioning of the European Union to de minimis aid. Commission Regulation (EU) No 1407/2013 allows a ‘single undertaking’ to receive an aggregate maximum amount of de minimis aid of €200,000 under all de minimis aid measures, over a period of three ‘fiscal years’. This aggregate maximum threshold applies in principle to all economic sectors with the exception of a ‘single undertaking’ performing road freight transport for hire and reward for which a lower de minimis threshold of €100,000 over any period of three ‘fiscal years’ applies. The agriculture and fisheries sectors are subject to different thresholds and criteria. For the purpose of this declaration, the term ‘single undertaking’ shall have the meaning as established in Commission Regulation (EU) No 1407/2013. Moreover, ‘fiscal year’ means the fiscal year as used for tax purposes by the undertaking concerned. This maximum threshold would include all State aid granted under this scheme and any other State aid measure granted under the de minimis rule. Any de minimis aid received in excess of the established threshold will have to be recovered, with interest, from the undertaking receiving the aid.Further information, as well as guidance on the filling in this form may be obtained by contacting Business First on free phone number 144 or by sending an email to covid@.1.Name of Applicant FORMTEXT ?????2.Address of Applicant FORMTEXT ?????3.Telephone Number FORMTEXT ?????4.Email Address FORMTEXT ?????5.VAT Number FORMTEXT ?????6.Legal Form of Undertaking FORMTEXT ?????pany Registration Number[partnerships and self-employed should list down their ID card No] FORMTEXT ?????8.Sector (Select the sector that mainly describes the business activity.)Choose an item.9.Number of new teleworking contracts for which support is being requested. (These teleworking agreements must have become active on or after 15th February 2020, in respect of which costs are being claimed, and respective employees must be engaged in a role which can be performed via telework.) FORMTEXT ?????10.Provide a short explanation on how the teleworking arrangement will function explaining how employees will have access to company data (eg through VPN or Cloud Services) FORMTEXT ?????11.Provide the below details so that Malta Enterprise may process any approved disbursements electronically.Bank NameChoose an item.If other please specify FORMTEXT ?????SWIFT CodeChoose an item.If other please specify FORMTEXT ?????IBAN FORMTEXT ?????12.Provide a Summary of the costs being claimed (When available including make, model and serial number, e.g. Brand Laptop SN 1234567)Item Purchased Invoice / Receipt NoCost exc. VAT FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? € FORMTEXT ?????Total (A1)Enter total of above € FORMTEXT ????? Documentation to be submitted:For each item listed above you should provide a copy of the fiscal invoice and proof of payment. Proof of payment may include bank documentation confirming the transaction or confirmation from the supplier that the cost has been paid.If items claimed have been leased, provide a copy of the lease agreement clearly indicating the cost of the items being claimed for a one-year period.A copy of each teleworking contract for each employee for which equipment is being claimed. The contract should clearly indicate the name of the employee and the relevant ID number, and should not have commenced earlier than 15th February 2020. If the teleworking contract does not specify the equipment the employees took responsibility of, a separate document signed by the employee should be submitted identifying the equipment the employee took responsibility for (When available including make, model and serial number, e.g. Brand Laptop SN 1234567). Detailed information concerning applicable State aid under the de minimis rule for fiscal year 2018, 2019, 2020SECTION 1 – DE MINIMIS STATE AID AWARDED DateSource/GrantorType of State Aid (Name of Measure)Awarded toAmount in € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????TOTAL (A2)Enter total of above€ FORMTEXT ????? SECTION 2 – DE MINIMIS STATE AID STILL PENDING FOR APPROVAL DateSource/GrantorType of State Aid(Name of Measure)Awarded toAmount in € FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????TOTAL (A3)Enter total of above€ FORMTEXT ????? =SUM(above) \# "#,##0" SECTION 3 – DE MINIMIS STATE AID REQUESTED IN THIS APPLICATION DateSource/GrantorType of State Aid(Name of Measure)Amount in €March 2018Malta EnterpriseBusiness Development and Continuity SchemeFacilitation of Teleworking Activities45% of A1€ FORMTEXT ????? TOTAL of Sections 1,2 and 3 above € FORMTEXT ?????In submitting this Claim Form, the applicant is:?declaring that aid approved under this incentive is in line with the terms and conditions set out in the Incentive Guidelines and in line with Cumulation Article 5 of the Commission Regulation (EU) No 1407/2013 of 18 December 2013 on the application of Articles 107 and 108 of the Treaty on the Functioning of the European Union to de minimis aid. confirming that any employment and personal data included in this application form is?covered by?the appropriate data subject consent as required by the prevalent Data Protection laws and regulations.declaring that there has not been any approval, nor has there been granted any public funding, financing or fiscal benefit in respect to the cost items included in this request for aid and will not seek funding or fiscal benefits for these cost items through other National and / or European Union measures.Confirm and declaring that the teleworking arrangement presented were not in place prior to 15th February, 2020. Name of Applicant (full legal name) FORMTEXT FORMTEXT ?????Name and Surname of Signatory legal representative of the applicant (CAPITAL LETTERS) FORMTEXT FORMTEXT ?????Position in Establishment FORMTEXT FORMTEXT ?????Email of Legal RepresentativeThis email will be used for official communication about this application FORMTEXT FORMTEXT ?????Signature DateClick here to enter a date. ................
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