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["  ",null,null,null,"THE DEPARTMENT OF TRADE AND INDUSTRY "]
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[]
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[null,"AUTOMOTIVE INVESTMENT SCHEME (AIS)"]
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[null,"Application form for Automotive Investment Investment Scheme"]
[null,"(Compontent or Deemed Component Manufacturer)"]
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[null,"DISCLAIMER AND IMPORTANT NOTICE: \n"]
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[null,null,"· Please read the relevant pages of the application form guide detailing the legal implications of completing this form and applying for an incentive grant "]
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[null,null,"· Specific attention is drawn to the dti’s right to cancel any agreements based on incorrect or misleading information provided in this form. \n"]
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[null,null,"· Entities that make fraudulent applications and claims will be persecuted to the full extent of the law.\n\n"]
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[null,"PLEASE NOTE THE FOLLOWING BEFORE COMPLETING THE FORM:"]
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[null,null,"· Please study the AIS Guidelines.\n"]
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[null,null,"· Please be aware that the guidelines form part of the agreement with the dti.\n"]
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[null,null,"· Each page must be initialled and the last page signed by the authorised official of the applying entity. \n"]
[]
[null,null,"· Before submitting, be sure to have attached all required documents. \n "]
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[null,null,"· All amendments must be initialled. \n "]
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[null,null,"· The standard format of the application form can not be changed.\n"]
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[null,"HOW DID YOU FIND OUT ABOUT THE SCHEME?"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"If Other, Please Specify"]
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[]
[]
[]
[]
[]
[null,"THE DEPARTMENT OF TRADE AND INDUSTRY CONTACT DETAILS"]
[]
[null,"Postal Address:",null,null,"Physical Address:",null,"Courier Address"]
[null,"Private Bag X84",null,null,"77 Meintjies Street",null,"1 Esselen Street (Ground Floor)"]
[null,"Pretoria",null,null,"Sunnyside, Pretoria",null,"Shared Service Centre"]
[null,"0001",null,null,"0002",null,"Sunnyside, Pretoria"]
[null,null,null,null,null,null,"0002"]
[]
[null,"Web Address :"]
[null,"www.thedti.gov.za"]
[]
[null,"Customer Contact Centre :"]
[null,"0861 843 384 | +27(0) 12 394 9500"]

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[null,"SECTION 1",null,null,null,"GENERAL INFORMATION"]
[]
[null,"1.1 SUPPORT APPLIED FOR"]
[]
[null,"1.2 ASSISTANCE APPLIED FOR (Application Type)"]
[]
[]
[null,"1.3 ASSISTANCE APPLIED FOR"]
[]
[]
[null,"1.4 TOTAL INVESTMENT IN ASSETS(rand value)",null,null,null,"Year 1","Year 2","Year 3","TOTAL"]
[]
[null,"1.5 LIST OF ADDITIONAL INFORMATION"]
[null,"- Incorporation documentation"]
[null,"- Documents that prove funding of the required project value and/ or Board approval for the project"]
[null,"- Business Plan (detailed marketing, sales, production and cost benefit analysis)"]
[null,"- Audited annual financial statements for the last three years (where applicable)"]
[]
[null,"SECTION A",null,null,null,"APPLICANT INFORMATION"]
[]
[null,"2. ENTITY TYPE  "]
[]
[null,"3. NAME OF APPLICANT"]
[]
[null,"4.INCORPORATION NO",null,null,null,null,"INCORPORATION DATE"]
[]
[null,"5. TRADING NAME"]
[]
[null,"6. POSTAL ADDRESS"]
[]
[]
[null,"POSTAL CODE"]
[]
[null,"7. CONTACT PERSON"]
[null,"TITLE"]
[]
[null,"8. CONTACT DETAILS",null,null,null,"(with area codes)"]
[null,"E-mail"]
[null,"Fax",null,null,null,null,null,"e.g. +(0)12 394 1234"]
[null,"Mobile",null,null,null,null,null,"e.g. +(0)83 394 1234"]
[null,"Work",null,null,null,null,null,"e.g. +(0)12 394 1234"]
[]
[null,"9. NAME OF CONSULTANT COMPANY"]
[null,"Name of Contact Person"]
[null,"E-mail"]
[null,"Fax",null,null,null,null,null,"e.g. +(0)12 394 1234"]
[null,"Mobile",null,null,null,null,null,"e.g. +(0)83 394 1234"]
[null,"Work",null,null,null,null,null,"e.g. +(0)12 394 1234"]
[]
[null,"10. FINANCIAL YEAR-END",null,null,null,null,null,"e.g. February"]
[]
[null,"11. ASSISTANCE ENJOYED UNDER THE FOLLOWING PROGRAMMES"]
[]
[null,"Enterprise Investment Programme (EIP)"]
[null,"Small Medium Enterprise Development (SMEDP)"]
[null,"Production Asset Allowance (PAA)"]
[null,"Strategic investment project (SIP)"]
[null,"Manufacturing competitiveness Enhancement Programme (MCEP) "]
[null,"OTHER"]
[]
[null,"12. TAX OFFICE"]
[null,"VAT Number",null,null,null,null,"TAX Number"]
[null,"TAX Clearance Certificate Number",null,null,null,null,"TAX Clearance end date"]
[]
[null,"13. LITIGATION"]
[]
[]
[]
[]
[null,"14. BROAD-BASED BLACK ECONOMIC EMPOWERMENT BEE (For Statistical Use only)"]
[]
[]
[]
[]
[]
[]
[]
[null,"14.1: If not B-BBEE compliant (below level 4), please provide plans towards achieving B-BBEE compliance during the incentive period"]

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[]
[]
[null,"SECTION A1",null,null,null,"GENERAL INFORMATION"]
[]
[]
[null,"15. ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.1 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.2 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.3 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.4 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.5 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.6 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.7 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.8 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.9 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[]
[]
[]
[null,"15.10 ENTERPRISE NAME"]
[null,"INCORPORATION No.",null,null,null,null,"INCORPORATION No."]
[null,"Please make copies of section A1 if more businesses must be indicated"]

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[]
[]
[null,"Shareholder/ Company/ Group/ Structure/ Members(trusts)",null,"Incorp.No / ID No. Shareholder/ Member",null,"Links Section RSA%","Race","Gender (M/F)","Foreign","Country","Other Business (Y/N)","16. SHAREHOLDER"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Black","Female","Yes"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Coloured","Male","No"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Indian"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"White"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Other"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,"*For involvement in other business, please complete SECTION A1"]

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[]
[]
[null,"SECTION B",null,null,null,"PROJECT INFORMATION",null,null,null,null,null,null,null,"EC-Eastern Cape"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"FS-Free State"]
[null,"17.  NAME OF PROJECT",null,null,null,null,null,null,null,null,null,null,null,"GP-Guateng"]
[null,"Physical Address (of factory)",null,null,null,null,null,null,null,null,null,null,null,"KZN- KwaZulu Natal"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"MP-Mpumalanga"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"LIM-Limpopo"]
[null,"Postal Code",null,null,null,null,"Factory Size (m2)",null,null,null,null,null,null,"NC-Northern Cape"]
[null,"Province",null,null,null,null,"Establishment Point/Surbrb",null,null,null,null,null,null,"NW-North West"]
[null,"District Municipality",null,null,null,null,null,null,null,null,null,null,null,"WC-Western Cape"]
[]
[null,"18.1 START DATE OF COMMISSIONING",null,null,null,null,null,null,null,null,"CCYY / MM / DD"]
[null,"18.2  END DATE OF COMMISSIONING",null,null,null,null,null,null,null,null,"CCYY / MM / DD"]
[null,"18.3  START DATE OF COMMERCIAL PRODUCTION ",null,null,null,null,null,null,null,null,"CCYY / MM / DD"]
[]
[null,"19. MOTIVATION FOR GRANT",null,null,"Please explain the financial impact of the grant on the project"]
[null,"District Municipality"]
[]
[]
[]
[]
[]
[]
[]
[null,"20.  FUNDING OF PROJECT",null,null,"Please provide a breakdown of how the project will be financed"]
[null,"Name of Funder",null,null,"Type of funding(e.g.loan)",null,"Terms (months)",null,"Amoun (Rand)"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,"Terms (months)"]
[]
[null,"21.1 SIC CODE OF PRODUCT",null,null,null,null,null,null,"(provide the SIC code for project)"]
[null,"21.2 PRODUCT DESCRIPTION"]
[]
[]
[null,"21.3 PRODUCTION PROCESS DESCRIPTION "]
[]
[]
[]
[]
[]
[null,"22.1 PROJECTED EMPLOYMENT",null,null,null,"BASE YEAR","YEAR 1","YEAR 2","YEAR 3","TOTAL"]
[null,"For the Plant where the project is located\nFor the Project"]
[]
[]
[null,"22.2 BASE YEAR EMPLOYMENT",null,null,null,"(At plant level only) Monthly average employment figures for the base year.  (*Disabled employees should be included in the gender/race as well as disable categories)"]
[]
[null,"WHITE",null,"BLACK",null,"INDIAN",null,"COLOURED",null,"OTHER"]
[null,"Male","Female","Male","Female","Male","Female","Male","Female","Male","Female"]
[]
[]
[null,"DISABLED MALE",null,null,null,null,null,null,null,"TOTAL"]
[null,"DISABLED FEMALE",null,null,null,null,null,null,null,{"$f":"SUM(B60:J60)","v":0}]
[]
[null,"23. PREMISES (square metres)",null,null,"EXISTING AREA FOR BASE YEAR",null,"ADDITIONAL AREA FOR YEAR 1","ADDITIONAL AREA FOR YEAR 2","ADDITIONAL AREA FOR YEAR 3","TOTAL NEW PROJECT AREA (1+2+3)"]
[]
[]
[null,"Total Site"]
[]
[null,"Factory"]
[]
[null,"Administration"]
[]
[null,"Warehouse"]

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[]
[]
[null,"24.  PRODUCTS TO BE SUPPLIED INTO THE OEM'S SUPPLY CHAIN"]
[null,"OEM:  Component Manufacturer TIER 1/ TIER 2 (Value supplied to OE)",null,null,null,null,"PRODUCT",null,null,null,"Cost per unit / factory price"]
[null,"CUSTOMER'S ENTITY NAME",null,null,"Tier Indication"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"24.1 WHERE PRODUCT IS NOT DIRECTLY SUPPLIED TO OEM"]
[null,"(provide sequence of entities and products to be supplied to OEM)"]
[]
[]
[]
[]
[null,"24.2 PRODUCTION COST BREAKDOWN"]
[null,"OEM",null,null,"CURRENT PROJECT A (AVERAGE COST PER UNIT/VEHICLE",null,null,null,"CUSTOMER'S ENTITY NAME"]
[null,"(a) COST: Imported Components and Materials"]
[]
[null,"(b) COST: Local Components and Materials"]
[]
[null,"(c) Direct Labour Costs - At plant level"]
[]
[null,"(d) Other Manufacturing Costs (e.g. Depreciation, electricity, fuel etc)"]
[]
[null,"(e) Total (a to d) : Cost of Production"]
[null,"(f) Selling and Administration Costs (e.g. Marketing, Financing etc)"]
[]
[null,"(g) Factory Marging"]
[]
[null,"(h) Total (e to g): Factory Price"]
[null,"(i) VOLUMES",null,null,"TOTAL PRODUCED",null,null,null,"YEAR 1","YEAR 2","YEAR 3"]
[]
[null,"(j) VOLUMES OF PRODUCTION TO OEM'S SUPPLY CHAIN"]
[]
[]
[null,"25.  DEVELOPMENT OF LOCAL TOOLING INDUSTRY (Provide details in the business plan)"]
[null,"25.1 Total Project Tooling Budget R'/Value (Tools, Dies and Mould)"]
[null,"Existing / old Model",null,"Year 1","Year 2","Year 3","Total"]
[]
[]
[null,"25.2 Local Tooling Spend R'/ Value "]
[null,"Existing / old Model",null,"Year 1","Year 2","Year 3","Total"]
[]
[]
[null,"25.3 Percentage of new tools"]
[null,"Existing / old Model",null,"Year 1","Year 2","Year 3","Total"]
[]
[]
[null,"25.4 Percentage of second hand tools"]
[null,"Existing / old Model",null,"Year 1","Year 2","Year 3","Total"]
[]
[]
[null,"26. RESEARCH AND DEVELOPMENT (Provide details in the business plan)"]
[null,null,null,null,null,"Description of Product / Process",null,"Expenditure for Previous Model (R)","Budget for New Model (R)"]
[null,null,null,null,null,null,null,null,"Year 1","Year 2","Year 3"]
[null,"Development of new products/processes"]
[]
[null,"Component and product testing (durability)"]
[]
[null,"Development of prototypes to facilitate localisation"]

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[]
[]
[null,"27. STRENGHTHENING THE AUTOMOTIVE SUPPLY CHAIN (Provide detailed description)"]
[null,"Description",null,null,null,"Country Previous Sourced / Performed",null,"Expenditure for Previous Model (R)","Value (R)"]
[null,null,null,null,null,null,null,null,"Year 1","Year 2","Year 3"]
[null,"New Component"]
[]
[null,"Intermediate Product"]
[]
[null,"New Process"]
[]
[null,"New Process"]
[]
[]
[]
[null,"28. COMPETITIVENESS IMPROVEMENT "]
[null,"LIST OF QUALIFYING ACTIVITIES"]
[null,"FOCUS AREA",null,"Motivation for Intervention",null,null,"Expected Outcome",null,"Start of Operation Date",null,"Rand Amount"]
[null,"PRODUCT IMPROVEMENT"]
[]
[null,"PROCESS IMPROVEMENT / OPTIMISATION"]
[]
[null,"CONFORMITY ASSESSMENT"]
[]
[null,"LOGISTICS IMPROVEMENTS"]
[]
[null,"IT SYSTEMS"]
[]
[null,"SKILLS DEVELOPMENT"]
[]
[null,"RESOURCE EFFICIENCY"]
[]
[null,"OTHER"]
[]
[]
[]
[null,"** Please complete the detailed activity schedule if applying for this component"]

{"sheet":"Page 8","index":7,"n_rows":91,"n_cols":8,"rows_kept":91,"cut":false,"hidden":false,"merged":[[2,7,2,10],[2,1,2,6],[4,1,6,1],[23,7,24,7],[23,8,24,8],[23,9,24,9],[23,10,24,10],[11,7,12,7],[11,8,12,8],[11,9,12,9],[11,10,12,10],[11,1,12,1],[11,2,12,2],[11,3,12,3],[11,4,12,4],[9,7,10,7],[9,8,10,8],[9,9,10,9],[5,2,6,4],[7,5,8,5],[7,6,8,6],[9,10,10,10],[9,3,10,3],[9,4,10,4],[27,5,28,5],[35,5,36,5],[35,6,36,6],[15,7,16,7],[4,2,4,10],[5,5,6,5],[5,6,6,10],[13,1,14,1],[23,1,24,1],[27,1,28,1],[9,5,10,5],[9,6,10,6],[7,7,8,7],[7,8,8,8],[7,9,8,9],[7,10,8,10],[35,2,36,2],[35,3,36,3],[35,4,36,4],[33,3,34,3],[35,10,36,10],[35,7,36,7],[35,8,36,8],[35,9,36,9],[7,1,8,1],[7,2,8,2],[7,3,8,3],[7,4,8,4],[9,1,10,1],[9,2,10,2],[11,5,12,5],[11,6,12,6],[15,1,16,1],[15,2,16,2],[15,3,16,3],[15,4,16,4],[15,5,16,5],[15,6,16,6],[13,5,14,5],[13,6,14,6],[13,2,14,2],[13,3,14,3],[13,4,14,4],[53,1,54,1],[48,1,49,1],[39,2,40,2],[39,3,40,3],[39,4,40,4],[23,2,24,2],[23,3,24,3],[23,4,24,4],[27,2,28,2],[27,3,28,3],[27,4,28,4],[35,1,36,1],[39,1,40,1],[48,4,49,4],[48,3,49,3],[48,2,49,2],[25,1,26,1],[25,2,26,2],[25,3,26,3],[25,4,26,4],[31,1,32,1],[33,1,34,1],[31,2,32,2],[31,3,32,3],[25,5,26,5],[25,6,26,6],[25,7,26,7],[25,8,26,8],[25,9,26,9],[21,6,22,6],[21,7,22,7],[21,8,22,8],[21,9,22,9],[23,5,24,5],[23,6,24,6],[21,3,22,3],[21,4,22,4],[21,5,22,5],[15,8,16,8],[15,9,16,9],[19,5,20,5],[19,6,20,6],[19,7,20,7],[19,8,20,8],[19,9,20,9],[13,7,14,7],[13,8,14,8],[13,9,14,9],[15,10,16,10],[17,1,18,1],[17,2,18,2],[17,3,18,3],[17,4,18,4],[17,5,18,5],[17,6,18,6],[17,7,18,7],[17,8,18,8],[17,9,18,9],[17,10,18,10],[13,10,14,10],[21,10,22,10],[19,1,20,1],[19,2,20,2],[19,3,20,3],[19,4,20,4],[25,10,26,10],[29,1,30,1],[29,2,30,2],[29,3,30,3],[29,4,30,4],[29,5,30,5],[29,6,30,6],[27,10,28,10],[29,7,30,7],[29,8,30,8],[29,9,30,9],[29,10,30,10],[27,6,28,6],[27,7,28,7],[27,8,28,8],[27,9,28,9],[19,10,20,10],[21,1,22,1],[21,2,22,2],[31,4,32,4],[33,2,34,2],[31,10,32,10],[33,5,34,5],[33,6,34,6],[33,7,34,7],[33,8,34,8],[33,9,34,9],[33,10,34,10],[33,4,34,4],[31,5,32,5],[31,6,32,6],[31,7,32,7],[31,8,32,8],[31,9,32,9],[37,10,38,10],[42,1,43,1],[42,5,43,5],[42,6,43,6],[42,7,43,7],[42,8,43,8],[42,9,43,9],[37,1,38,1],[37,2,38,2],[37,3,38,3],[37,4,38,4],[37,5,38,5],[37,6,38,6],[39,10,40,10],[37,7,38,7],[37,8,38,8],[37,9,38,9],[41,2,41,4],[39,5,40,5],[39,6,40,6],[39,7,40,7],[39,8,40,8],[39,9,40,9],[44,10,45,10],[46,1,47,1],[46,2,47,2],[46,3,47,3],[46,4,47,4],[46,5,47,5],[46,6,47,6],[42,10,43,10],[42,2,43,2],[42,3,43,3],[42,4,43,4],[44,1,45,1],[44,2,45,2],[44,3,45,3],[44,4,45,4],[44,5,45,5],[44,6,45,6],[51,1,52,1],[51,2,52,2],[51,3,52,3],[51,4,52,4],[51,5,52,5],[51,6,52,6],[44,7,45,7],[44,8,45,8],[44,9,45,9],[50,2,50,4],[48,9,49,9],[48,8,49,8],[48,7,49,7],[51,7,52,7],[51,8,52,8],[51,9,52,9],[48,6,49,6],[48,5,49,5],[51,10,52,10],[55,2,55,10],[56,2,57,4],[56,5,57,5],[56,6,57,10],[46,7,47,7],[46,8,47,8],[46,9,47,9],[46,10,47,10],[53,5,54,5],[53,6,54,6],[53,7,54,7],[53,8,54,8],[53,9,54,9],[53,10,54,10],[48,10,49,10],[53,2,54,2],[53,3,54,3],[53,4,54,4],[55,1,57,1],[58,2,58,10],[59,2,59,10],[60,1,61,1],[60,2,61,2],[60,3,61,3],[60,4,61,4],[60,5,61,5],[60,6,61,6],[60,7,61,7],[60,8,61,8],[60,9,61,9],[60,10,61,10],[62,10,63,10],[64,1,65,1],[64,2,65,2],[64,3,65,3],[64,4,65,4],[64,5,65,5],[64,6,65,6],[64,7,65,7],[64,8,65,8],[64,9,65,9],[64,10,65,10],[62,1,63,1],[62,2,63,2],[62,3,63,3],[62,4,63,4],[62,5,63,5],[62,6,63,6],[62,7,63,7],[62,8,63,8],[62,9,63,9],[66,10,67,10],[68,1,69,1],[68,2,69,2],[68,3,69,3],[68,4,69,4],[68,5,69,5],[68,6,69,6],[68,7,69,7],[68,8,69,8],[68,9,69,9],[68,10,69,10],[66,1,67,1],[66,2,67,2],[66,3,67,3],[66,4,67,4],[66,5,67,5],[66,6,67,6],[66,7,67,7],[66,8,67,8],[66,9,67,9],[70,1,71,1],[70,2,71,10],[72,1,73,1],[72,2,73,2],[72,3,73,3],[72,4,73,4],[72,5,73,5],[74,10,75,10],[76,1,77,1],[76,2,77,2],[76,3,77,3],[76,4,77,4],[76,5,77,5],[72,6,73,6],[72,7,73,7],[72,8,73,8],[72,9,73,9],[72,10,73,10],[74,1,75,1],[74,2,75,2],[74,3,75,3],[74,4,75,4],[74,5,75,5],[78,1,79,1],[78,2,79,2],[78,3,79,3],[78,4,79,4],[78,5,79,5],[74,6,75,6],[74,7,75,7],[74,8,75,8],[74,9,75,9],[80,2,80,10],[81,2,81,10],[78,6,79,6],[78,7,79,7],[78,8,79,8],[78,9,79,9],[78,10,79,10],[76,6,77,6],[76,7,77,7],[76,8,77,8],[76,9,77,9],[76,10,77,10],[82,10,83,10],[84,1,85,1],[84,2,85,2],[84,3,85,3],[84,4,85,4],[84,5,85,5],[84,6,85,6],[82,1,83,1],[82,2,83,2],[82,3,83,3],[82,4,83,4],[82,5,83,5],[82,6,83,6],[84,7,85,7],[84,8,85,8],[84,9,85,9],[84,10,85,10],[86,4,87,4],[86,5,87,5],[86,6,87,6],[86,7,87,7],[86,8,87,8],[86,9,87,9],[82,7,83,7],[82,8,83,8],[82,9,83,9],[86,10,87,10],[88,1,89,1],[88,2,89,2],[88,3,89,3],[88,4,89,4],[88,5,89,5],[88,6,89,6],[90,7,91,7],[90,8,91,8],[90,9,91,9],[90,10,91,10],[88,7,89,7],[88,8,89,8],[88,9,89,9],[88,10,89,10],[90,1,91,1],[90,2,91,2],[90,3,91,3],[90,4,91,4],[90,5,91,5],[90,6,91,6],[86,1,87,1],[86,2,87,2],[86,3,87,3]]}
[]
[]
[null,"SECTION B",null,null,null,null,null,"FINANCIAL INFORMATION "]
[]
[null,null,"INCOME STATEMENT"]
[null,null,"HISTORY",null,null,"INCEPTION PERIOD","FORECAST"]
[]
[null,"Year (ccyy/mm)"]
[]
[null,"Revenue"]
[]
[null,"Salaries and wages"]
[]
[null,"Lease/rental of land and buildings"]
[]
[null,"Other"]
[]
[null,"Direct operating costs"]
[]
[null,"Gross margin"]
[]
[null,"Salaries and wages"]
[]
[null,"Lease/ rental of land and buildings"]
[]
[null,"Other"]
[]
[null,"Indirect operating costs (excluding depreciation)"]
[]
[null,"EBITDA"]
[]
[null,"Depreciation"]
[]
[null,"EBIT"]
[]
[null,"Net interest (paid)/received"]
[]
[null,"PBT"]
[]
[null,"Share of (loss)/profit of associates"]
[]
[]
[null,"Tax"]
[]
[null,"PAT"]
[]
[null,"Minority interests"]
[]
[null,"Earnings attributable to ordinary shareholders"]
[]
[]
[null,"Dividends"]
[]
[null,"Retained (loss) /earnings"]
[]
[null,null,"BALANCE SHEET"]
[null,null,"HISTORY",null,null,"INCEPTION PERIOD","FORECAST"]
[]
[null,"EQUITY and LIABILITIES"]
[null,"Capital reserves"]
[null,"Share capital"]
[]
[null,"Shareholder loans"]
[]
[null,"Reserves"]
[]
[null,"Equity attributable to the shareholders"]
[]
[null,"Minority interests"]
[]
[null,"Non current and current liabilities"]
[]
[null,"Total third party interest bearing debt"]
[]
[null,"Deferred tax liability"]
[]
[null,"Trade payables"]
[]
[null,"TOTAL EQUITY AND LIABILITIES "]
[]
[null,"ASSETS"]
[null,"Non current assets"]
[null,"Assets/assets list (Section C-Assets)"]
[]
[null,"Other assets"]
[]
[null,"Gross fixed assets"]
[]
[null,"Accumulated depreciation"]
[]
[null,"Net fixed assets"]

{"sheet":"Page 9","index":8,"n_rows":83,"n_cols":6,"rows_kept":83,"cut":false,"hidden":false,"merged":[[80,1,80,10],[82,1,82,10],[58,7,59,7],[58,8,59,8],[58,9,59,9],[58,10,59,10],[74,2,75,2],[74,3,75,3],[74,4,75,4],[74,5,75,5],[74,6,75,6],[74,7,75,7],[58,1,59,1],[58,2,59,2],[58,3,59,3],[58,4,59,4],[58,5,59,5],[58,6,59,6],[77,7,78,7],[77,8,78,8],[77,9,78,9],[72,1,73,1],[72,2,73,2],[72,3,73,3],[56,5,57,5],[56,6,57,6],[56,7,57,7],[56,8,57,8],[56,9,57,9],[56,10,57,10],[51,2,52,2],[51,3,52,3],[51,4,52,4],[53,3,54,3],[53,4,54,4],[53,5,54,5],[53,6,54,6],[51,1,52,1],[56,1,57,1],[56,2,57,2],[56,3,57,3],[56,4,57,4],[21,2,21,4],[26,2,26,4],[26,5,26,10],[51,5,52,5],[51,6,52,6],[51,7,52,7],[51,8,52,8],[51,9,52,9],[51,10,52,10],[53,7,54,7],[53,8,54,8],[53,9,54,9],[53,10,54,10],[49,7,50,7],[49,8,50,8],[49,9,50,9],[49,10,50,10],[53,1,54,1],[53,2,54,2],[8,10,9,10],[6,10,7,10],[8,1,9,1],[8,2,9,2],[8,3,9,3],[8,4,9,4],[8,5,9,5],[8,6,9,6],[8,7,9,7],[8,8,9,8],[8,9,9,9],[6,1,7,1],[6,2,7,2],[6,3,7,3],[6,4,7,4],[6,5,7,5],[6,6,7,6],[6,7,7,7],[6,8,7,8],[6,9,7,9],[2,10,3,10],[4,1,5,1],[4,2,5,2],[4,3,5,3],[4,4,5,4],[4,5,5,5],[4,6,5,6],[4,7,5,7],[4,8,5,8],[4,9,5,9],[2,1,3,1],[2,2,3,2],[2,3,3,3],[2,4,3,4],[2,5,3,5],[2,6,3,6],[2,7,3,7],[2,8,3,8],[2,9,3,9],[4,10,5,10],[72,4,73,4],[72,5,73,5],[72,6,73,6],[72,7,73,7],[72,8,73,8],[77,10,78,10],[72,9,73,9],[72,10,73,10],[74,1,75,1],[77,1,78,1],[77,2,78,2],[77,3,78,3],[77,4,78,4],[77,5,78,5],[77,6,78,6],[74,8,75,8],[74,9,75,9],[74,10,75,10],[66,10,67,10],[69,1,70,1],[69,2,70,2],[69,3,70,3],[69,4,70,4],[69,5,70,5],[69,6,70,6],[69,7,70,7],[69,8,70,8],[69,9,70,9],[69,10,70,10],[66,1,67,1],[66,2,67,2],[66,3,67,3],[66,4,67,4],[66,5,67,5],[66,6,67,6],[66,7,67,7],[66,8,67,8],[66,9,67,9],[61,9,62,9],[61,10,62,10],[64,1,65,1],[64,2,65,2],[64,3,65,3],[64,4,65,4],[64,5,65,5],[64,6,65,6],[64,7,65,7],[64,8,65,8],[61,1,62,1],[61,2,62,2],[61,3,62,3],[61,4,62,4],[61,5,62,5],[61,6,62,6],[61,7,62,7],[61,8,62,8],[64,9,65,9],[64,10,65,10],[49,1,50,1],[49,2,50,2],[49,3,50,3],[49,4,50,4],[49,5,50,5],[49,6,50,6],[47,6,48,6],[47,7,48,7],[47,8,48,8],[45,1,46,1],[45,2,46,2],[45,3,46,3],[45,4,46,4],[45,5,46,5],[47,9,48,9],[47,10,48,10],[45,6,46,6],[45,7,46,7],[45,8,46,8],[45,9,46,9],[45,10,46,10],[47,1,48,1],[47,2,48,2],[47,3,48,3],[47,4,48,4],[47,5,48,5],[41,10,42,10],[43,1,44,1],[43,2,44,2],[43,3,44,3],[43,4,44,4],[43,5,44,5],[43,6,44,6],[43,7,44,7],[43,8,44,8],[43,9,44,9],[43,10,44,10],[41,1,42,1],[41,2,42,2],[41,3,42,3],[41,4,42,4],[41,5,42,5],[41,6,42,6],[41,7,42,7],[41,8,42,8],[41,9,42,9],[37,10,38,10],[39,1,40,1],[39,2,40,2],[39,3,40,3],[39,4,40,4],[39,5,40,5],[39,6,40,6],[39,7,40,7],[39,8,40,8],[39,9,40,9],[39,10,40,10],[37,1,38,1],[37,2,38,2],[37,3,38,3],[37,4,38,4],[37,5,38,5],[37,6,38,6],[37,7,38,7],[37,8,38,8],[37,9,38,9],[33,10,34,10],[35,1,36,1],[35,2,36,2],[35,3,36,3],[35,4,36,4],[35,5,36,5],[35,6,36,6],[35,7,36,7],[35,8,36,8],[35,9,36,9],[35,10,36,10],[33,1,34,1],[33,2,34,2],[33,3,34,3],[33,4,34,4],[33,5,34,5],[33,6,34,6],[33,7,34,7],[33,8,34,8],[33,9,34,9],[29,10,30,10],[31,1,32,1],[31,2,32,2],[31,3,32,3],[31,4,32,4],[31,5,32,5],[31,6,32,6],[31,7,32,7],[31,8,32,8],[31,9,32,9],[31,10,32,10],[29,1,30,1],[29,2,30,2],[29,3,30,3],[29,4,30,4],[29,5,30,5],[29,6,30,6],[29,7,30,7],[29,8,30,8],[29,9,30,9],[24,10,25,10],[27,1,28,1],[27,2,28,2],[27,3,28,3],[27,4,28,4],[27,5,28,5],[27,6,28,6],[27,7,28,7],[27,8,28,8],[27,9,28,9],[27,10,28,10],[24,1,25,1],[24,2,25,2],[24,3,25,3],[24,4,25,4],[24,5,25,5],[24,6,25,6],[24,7,25,7],[24,8,25,8],[24,9,25,9],[19,10,20,10],[22,1,23,1],[22,2,23,2],[22,3,23,3],[22,4,23,4],[22,5,23,5],[22,6,23,6],[22,7,23,7],[22,8,23,8],[22,9,23,9],[22,10,23,10],[19,1,20,1],[19,2,20,2],[19,3,20,3],[19,4,20,4],[19,5,20,5],[19,6,20,6],[19,7,20,7],[19,8,20,8],[19,9,20,9],[15,10,16,10],[17,1,18,1],[17,2,18,2],[17,3,18,3],[17,4,18,4],[17,5,18,5],[17,6,18,6],[17,7,18,7],[17,8,18,8],[17,9,18,9],[17,10,18,10],[15,1,16,1],[15,2,16,2],[15,3,16,3],[15,4,16,4],[15,5,16,5],[15,6,16,6],[15,7,16,7],[15,8,16,8],[15,9,16,9],[11,7,12,7],[11,8,12,8],[11,9,12,9],[11,10,12,10],[13,1,14,1],[13,2,14,2],[13,3,14,3],[13,4,14,4],[13,5,14,5],[13,6,14,6],[11,1,12,1],[11,2,12,2],[11,3,12,3],[11,4,12,4],[11,5,12,5],[11,6,12,6],[13,7,14,7],[13,8,14,8],[13,9,14,9],[13,10,14,10]]}
[]
[]
[null,"Associates and other investments"]
[]
[null,"Intangible assets"]
[]
[null,"Deferred tax asset"]
[]
[null,"Other"]
[]
[]
[null,"Current assets"]
[]
[null,"Trade receivables"]
[]
[null,"Other receivables"]
[]
[null,"Inventory"]
[]
[null,"Cash and cash equivalents"]
[]
[]
[null,"TOTAL ASSETS"]
[]
[null,"Does balance sheet balance?"]
[]
[null,null,null,null,null,"CASH FLOW"]
[null,"EBITDA"]
[]
[null,"(Increase) / decrease in working capital"]
[]
[null,"Pre-tax cash flow generated from operations"]
[]
[null,"Capital expenditure"]
[]
[null,"Other Items"]
[]
[null,"Pre-tax cash flow generated "]
[]
[null,"Net cash interest (paid) / received"]
[]
[null,"Taxation paid"]
[]
[null,"Cash (out) / inflows from associates"]
[]
[null,"Other investment activities"]
[]
[null,"Cash flow operations and investments "]
[]
[null,"Debt repaid"]
[]
[null,"Shareholder loans repaid"]
[]
[null,"Total repayments"]
[]
[]
[null,"Cash available before increase in debt"]
[]
[null,"Debt raised"]
[]
[]
[null,"Cash available to shareholders"]
[]
[]
[null,"Dividents"]
[]
[null,"Share capital and shareholders' loans raised"]
[]
[]
[null,"Increase/(decrease) in cash and cash equivalents"]
[]
[]
[null,"Opening: cash and cash equivalents"]
[]
[null,"Cash per balance sheet = Cash flow statement"]
[]
[]
[null,"Net working capital"]
[]
[]
[null,"IMPORTANT NOTES ON FINANCIAL INFORMATION"]
[]
[null,"·1      Cells indicated in YELLOW must be entered as a negative value, with a negative sign."]

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[]
[]
[]
[]
[null,"DESCRIPTION of the assets",null,null,null,null,"Additions (R) Year 1 (CCYYMM)","Additions (R) Year 2 (CCYYMM)","Additions (R) Year 3 (CCYYMM)","Total ( R) For each Category",null,null,"SECTION  D"]
[]
[]
[null,"New Buildings"]
[]
[]
[]
[]
[]
[]
[null,"Improvements on Buildings"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Tooling e.g. jigs, dies and moulds"]
[null,null,null,null,null,null,null,null,null,null,null,null,"ASSET LIST"]
[]
[]
[]
[null,"New Machinery and equipment"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Second Hand Machinery and equipment"]
[]
[]
[]
[]
[]
[]
[null,"Total"]
[]
[null,"Important Notes:  Summary of all assets must be indicated under the headings as described above as this information will appear in your approval "]
[]
[]
[null,"Connected Party:","1. Trust, where a beneficiary"]
[]
[null,null,"3.  Partnership, where a relative is a member is a beneficiary"]
[]
[null,null,"4.  Partnership, where a relative is a member"]
[]
[null,null,"5.  Company that is part of the same group"]
[]
[null,null,"6.  Equity share capital/voting rights > / = 20%"]
[]
[null,null,"7.  Member of a CC"]

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[]
[]
[null,"SECTION E",null,null,null,null,null,"DOMICILIUM and RESOLUTION"]
[]
[null,"DOMICILIUM","Indicate your domicilium citandi et executandi for the serving of legal documents and other notices (physical address of the facility)"]
[]
[]
[]
[]
[]
[null,"DECLARATION",null,"I hereby declare that the information in this application is a fair and true reflection of my intended project and that all relevant information has been disclosed. I am aware of the fact that the information which I have submitted above will have a material bearing on the adjudication and if it, therefore, subsequently transpires that any information in the application and addenda was not correct, or that certain information was omitted, the dti shall be entitled to withdraw or amend its approval and without prejudice to its rights, to recover any amounts already paid or to withhold any further payments due."]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,"This application (with any addenda), if successful, will form part of your contract with the dti."]
[]
[]
[]
[null,null,null,"If at a later stage it transpires that information is not correct, the applicant will be held solely responsible for misrepresentation and legal action may be instituted."]
[]
[]
[]
[]
[]
[null,"SIGNED"]
[]
[null,"CAPACITY"]
[]
[null,"NAME IN PRINT"]
[]
[null,"DATE"]
[]
[]
[]
[null,"RESOLUTION OF THE BOARD OF DIRECTORS"]
[null,"The Board of dirctors of"]
[]
[null,"hereby authorises"]
[]
[null,"in his/her capacity as"]
[]
[null,"signature"]
[]
[null,"to sign all documents pertaining to the application to the dti or any documentation pertaining thereto"]
[]
[]
[null,"SIGNED at"]
[]
[null,"on this"]
[]
[null,"day of"]
[]
[]
[]
[null,"NAME OF DIRECTORS",null,null,null,null,"SIGNATURE of DIRECTORS"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"FOR the dti USE ONLY"]

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["SECTION E:",null,null,null,"DOMICILIUM and RESOLUTION"]
[]
["DOMICILIUM",null,"Indicate your domicilium citandi et executandi for the serving of legal documents and other notices (physical address of the facility)"]
[]
[]
[]
[]
["DECLARATION",null,"I hereby declare that the information in this application is a fair and true reflection of my intended project and that all relevant information has been disclosed. I am aware of the fact that the information which I have submitted above will have a material bearing on the adjudication and if it, therefore, subsequently transpires that any information in the application and addenda was not correct, or that certain information was omitted, the dti shall be entitled to withdraw or amend its approval and without prejudice to its rights, to recover any amounts already paid or to withhold any further payments due."]
[]
[]
[]
[]
[]
[null,null,"This application (with any addenda), if successful, will form part of your contract with the dti."]
[]
[]
[null,null,"If at a later stage it transpires that information is not correct, the applicant will be held solely responsible for misrepresentation and legal action may be instituted."]
[]
[]
[]
["SIGNED"]
["CAPACITY"]
["NAME IN PRINT"]
["DATE"]
[]
["RESOLUTION OF THE BOARD OF DIRECTORS"]
["The Board of dirctors of"]
["hereby authorises"]
["in his/her capacity as"]
["signature"]
["to sign all documents pertaining to the application to the dti or any documentation pertaining thereto"]
[]
["SIGNED at"]
["on this"]
["day of"]
[]
["NAME OF DIRECTORS",null,null,null,null,"SIGNATURE of DIRECTORS"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"FOR the dti USE ONLY"]
[null,"Date of receipt:"]
[null,"Unique reference number:"]

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[null,"AIS ACTIVITY SCHEDULE"]
[]
[]
[]
[]
[]
["FOCUS AREA/ CATEGORY",null,"SIC CODE","SERVICE ","ACTIVITIES/ ","START DATE","END DATE","COST","DELIVERABLE"]
["(As per section 9.5 of the guidelines)","DESCRIPTION","CODE","PROVIDER","MILESTONE(S)","DD/MM/YYYY","DD/MM/YYYY"]

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