Application - Northern Development Programme

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Northern Development Programme

Should you have any clarification or any general issues with the form, please email ihrdp@msme.mcttt.gov.fj or call Helpline 163 or Viber 9986014.
The Ministry reserves the right to request additional information as and when required for clarification.
Applications that are not eligible may not be considered for funding.
The Ministry will only contact the promising and shortlisted applicants for additional information.

Applicant Details

Applicant Name:

Other Name(s):

Last Name:

Gender:

Date of Birth:

Tax Identification Number:

E-Mail:

Address:

Phone Number:

Alternative Phone Number:

Postal Address:

Business Details

Business Name:

New or Existing Business:

Business Address:

District/Tikina:

Province:

Business Type:

Sole Trader

Partnership

Company

Co-operative

*New business - (1) You have been operating for less than six months or (2) You have been operating for more than six months but have recently registered with the Registrar of Companies Office or Department of Co-operative Business. Existing Business - You are registered and have been operating for more than six months.

Business Structure:

Micro

Small

Medium

Grant Request Details

Total Project Cost:

Grant from NDP:

Applicant's Contribution:

Loan Sought:

Business Proposal Details

How will you use the grant for your business? What will you buy?

Have you applied for or received grant assistance from another Ministry, Government Department, or Donor? (If Yes, please specify)

Briefly describe your business. What type of business do you operate? What services or products do you sell? What trade skills do you have that will be used in your business?

How will this grant help your business? Will you be able to make more products? Will this help you expand your production? Will you be able to add a new product or service?

Projected Outputs of Proposed Enterprise:

	Year 1	Year 2	Year 3
Projected Sales in Units
Projected Sales in Dollars
Projected Expenditure
Projected Annual Net Profit
PHow many jobs would be created

How many years have you been carrying out this trade? Do you have certification or training?

How will you advertise or market your business? (How will you let people know what business you are operating, what products you are selling, or what services you are providing?)

What are some of the risks or problems you think you will face once you have started your business, or what are some of the problems you are facing if your business is already operating?

How will you solve these problems?

Please attach the following with your submission

Please Note :
1. only .doc, .xlxs, and .pdf files accepted. picture file formats not accepted.
2. Document should not be more than size of 10 MB.

Completed Application Form

Tax Identification Letter/ Joint Identification Card

Valid Business Registration Certificate

Management Accounts for those in operation for at least 2 years

Valid Photo ID of director/proprietor

Support & Validity letter from relevant Ministry & Stakeholders

Business Plan inclusive of 3 years Cashflow Forecast/projections

Compliance to regulatory requirements as per business scope

Declaration

I hereby certify that the above information is true and correct to the best of my knowledge.

I understand that any false information provided may disqualify me from the funding program.

I also understand that providing false information to Government is an offence under the False Information Act 2016 and I may be fined up to $20,000 or sentenced to imprisonment for up to 10 years if found guilty.

Applicant's Signature