Application form for an innovative enterprise april 2017

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APPLICATION FORM CONFIDENTIAL

CLASSIFYING AN ENTERPRISE AS AN “INNOVATIVE SMALL AND MEDIUM ENETRPRISE (SME)

For Official Use Application Number

……………………………………………………………………………

Submission Date

…………………………………………………………………………….

Folder Number

…………………………………………………………………………….

Enterprise’s Data Full Name: Address:

Postal Code:

Tel. :

Fax.:

Website:

E-mail:

Legal Entity

Ltd

Partnership

Activity Description

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Other……………….……


Date of Enterprise Establishment Enterprise’s Registration Number Tax Identification Number Number of Employees 1.

How is it verified that the enterprise is a research and innovation enterprise? 

In the enterprises’ audited financial statements in at least one of the last three years

In the absence of audited financial statements, in the case of a startup enterprise without any financial history, in the audit of its current fiscal period, as certified by an external independent auditor

With the submission of a business plan

2. Brief description of the enterprise and the industry in which it operates in

3. Description of the innovative product’s/service maturity level

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4. Is the enterprise’s activity facilitated by ensured by an organized business incubator structures or research centers? (e.g. Facilitated as hosting/accommodation, consulting support services, etc)

5. Is there interest from business angels, venture capital funds or is there a loan intention from banking institutions, individuals or other private enterprises/ organizations?

DECLARATION The above data is correct and we remain at your disposal for granting additional data, information, presentations/ demonstrations and/ or interview regarding this program. The enterprise implements and operates according to existing laws and regulations of the Republic of Cyprus.

Full Name:

Title:

Signature:

Date:

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Documents Accompanying the Application 1. Audited Financial Statements 2. A Certificate/ Statement by an independent Auditor classifying the Enterprise as Innovative 3. Business Plan The application must be completed, signed and sent to the: MINISTRY OF FINANCE Address: Michali Karaoli Corner & Gregori Afxentiou 1439 Nicosia Cyprus Email Address: innovative.companies@mof.gov.cy

Application_2017

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