Entrepreneurs’ Programme: Accelerating Commercialisation

This document provides information about the questions asked in the online form for applying to the Accelerating Commercialisation programme under the Entrepreneurs' Programme. It also explains the eligibility criteria and the different sections of the application form.

a. Entrepreneurs’ Programme
Accelerating Commercialisation
Version [Date issued]
This document informs you of the questions we will ask you in the online form when you apply for
Accelerating Commercialisation. It will help you prepare your responses and the mandatory
attachments you will need before you apply online.
Do not use this document as your application form. You can only submit an application
using the online form

For Official Use Only
About Accelerating Commercialisation
Accelerating Commercialisation is an element of the Entrepreneurs' Programme. It is a highly
competitive, merit-based programme and only the strongest grant applications will be successful.
Accelerating Commercialisation encourages and assists small and medium businesses,
entrepreneurs and researchers to commercialise novel products, processes and services.
Completing this form
Please read the Customer Information Guide (under Key Documents) before filling out this
application.
This application form contains the following:
 Part A – Eligibility
 Part B – Contact details
 Part C – Applicant information
 Part D – Project details and funding
 Part E – Merit criteria
 Part F – Supporting documents
 Part H – Applicant declaration
Disclosure of information
The Commonwealth’s use and disclosure of your information (provided in this application or
otherwise) is set out in the Customer Information Guide.
Getting help
If you require assistance completing this application form please contact us on 13 28 46 or at
business.gov.au. Our website and staff can help you with forms, finding business information and
services and allow you to provide feedback, comments or suggestions.
You should also read and understand the Customer Information Guide and general funding
agreement (under Key Documents) before completing an application. View these documents at
business.gov.au.
Submitting your application
You can apply for Accelerating Commercialisation at any time over the life of the programme.
If you are unable to use the online form please lodge your completed application on this form with
attached supporting evidence:
 by email to
State Mailbox
NSW/ACT [e-mail]
VIC/TAS [e-mail]
QLD [e-mail]
SA/NT/WA [e-mail]
A. Eligibility
Eligible entities
You are required to answer all questions in this section.
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For Official Use Only
This section will help you determine whether you are an entity eligible for the
programme.
Tick
Box
Tick Box
A non tax-exempt company1 that is registered for GST and has a combined
turnover2 of less than $20 million for each of the three financial years prior to
lodgement of the application.
yes no
A commercialisation office3 yes no
An eligible partner entity4 that is a company1 yes no
An individual who agrees to form a non tax-exempt company1 if the application for
Accelerating Commercialisation funding is successful
yes no
A researcher who agrees to form a non tax-exempt company1 if the application for
Accelerating Commercialisation funding is successful
yes no
A partnership who agrees to form a non tax-exempt company1 if the application for
Accelerating Commercialisation funding is successful
yes no
An unincorporated trustee applying on behalf of a trust who agrees to form a non
tax-exempt company1 if the application for Accelerating Commercialisation
funding is successful
yes no
An incorporated trustee applying on behalf of a trust. yes no
If you have answered ‘yes’ to any of the questions above you are eligible to apply for this
programme subject to the additional eligibility criteria below.
1
? For Accelerating Commercialisation, a company is:
 Incorporated under the Corporations Act 2001 (Cth); and
 its trading activities
 form a sufficiently significant proportion of its overall activities as to merit it being described as
a trading corporation; or
 are a substantial and not merely a peripheral activity of the corporation.
2
? Combined turnover is the annual turnover of the applicant and of each related body corporate (if any).
3
? A Commercialisation Office is an entity of a publicly funded research organisation (PFRO) or a company
controlled by one or more PFROs,that assists researchers in commercialising their intellectual property. A PFRO is a higher
education provider listed in Table A and Table B of the Higher Education Support Act 2003 as well as Federal, State and
Territory Government departments or agencies which undertake publicly funded research.
4
? An eligible partner entity is an entity whose primary purpose is research but also looks to commercialise the
resultant intellectual property.
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A.1. Additional eligibility criteria
You are required to answer all questions in this section.
This section will help you determine whether you comply with additional eligibility
criteria for the programme.
Tick
Box
Yes
Tick
Box No
Do you have a novel product, process or service that you wish to commercialise and
trade to customers external to the State or Territory of your place of business5?
yes no
Have you received commercialisation guidance6? yes no
Does your company own, have access to or have beneficial use of the intellectual
property that is the subject of, or is necessary to carry out the project?
yes no
Are you able to demonstrate the ability to fund at least 50 per cent of the eligible
expenditure of the eligible commercialisation project, other than from government
grant sources?
You will be required to attach evidence to demonstrate your ability to fund the cost of
the project when submitting your application.
yes no
If you answered ‘yes’ to all of the questions above you are eligible to apply for this programme.
B. Contact details
B.1. Details of primary contact
Person authorised to act on behalf of the applicant.
(Note: You must provide at least one phone or mobile number. Other than title, all the remaining
fields below are mandatory unless stated otherwise.)
.
Provide details of the primary contact
Title
Given name
Family name
Position title
Phone number
Mobile number
Email address
Provide the postal address of the primary contact
Address
Suburb/ town
State/ territory
5
? Place of business is taken to be the business street address provided in this application.
6
? Commercialisation guidance is a range of services for which you may receive one or more of the following from
AusIndustry or a Commercialisation Adviser:
 Feedback on your eligibility for other activities under Accelerating Commercialisation;
 Referral to other Federal, State or Territory Government programmes;
 Referral to services provided under Business Management or Innovation Connections (other elements
of the Entrepreneurs’ Programme);
 Guidance and feedback on your proposed commercialisation project;
 Guidance on the application process for other activities under Accelerating Commercialisation.
The guidance is received through submitting an Expression of Interest.
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Provide the postal address of the primary contact
Postcode
Country Australia
B.2. Contact’s relationship to applicant
Is the applicant the primary contact’s employer? yes no
If you answered ‘yes’ go the next question. If you answered ‘no’ complete the following table.
Question Textbox
What is the relationship of the primary
contact to the applicant?
Name of primary contact’s employer
Australian Business Number (ABN) of
primary contact’s employer
Provide a contact for the applicant organisation
Title
Given name
Family name
Position title
Phone number
Mobile number
Email address
B.3. How did the applicant hear about the programme?
If Other, please specify:
B.4. Commercialisation Adviser
Name of your Commercialisation Adviser:
C. Applicant information
C.1. Type of applicant
In this section you must indicate what type of entity you operate under.
Tick
Box
Select which type of entity your organisation i
a company incorporated in Australia
a commercialisation office
an eligible partner entity that is a company
an individual who agrees to form a company before signing an agreement
a researcher who agrees to form a company before signing an agreement
a partnership that agrees to form a company before signing an agreement
an unincorporated trustee applying on behalf of a trust who agrees to form a company before
signing an agreement
an incorporated trustee applying on behalf of a trust
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C.2. Applicant details
If you are applying as a trustee on behalf of a trust leave
this question blank and go to the next question “Trustee
and trust details”.
Text box
Australian Company Number (ACN)
If applicable
Australian Business Number (ABN)
Legal/ registered entity name
Business/ trading name
Your business may have registered one or more business
names. If you operate under a business or trading name
enter alternate names here.
Date of registration of ABN
GST registered? yes no
We need to know whether the applicant or the applicant’s parent company has
disclosure obligations to the ASX by being listed.
Is your company listed on the Australian Stock Exchange (ASX)?
If yes, ASX/other code:
yes no
Is your parent company listed on the ASX?
Is yes, ASX/other code:
yes no
ANZSIC details
What is your company’s main revenue earning activity under the Australian and New Zealand
Standard Industrial Classification (ANZSIC)? ANZSIC division:
ANZSIC Class :
The ANZSIC codes and titles are available from the Australian Bureau of Statistics (ABS) website.
Phone 13 28 46 if you require assistance.
C.3. Trustee and trust details
Description of what is required Boxes to enter information
Australian Company Number (ACN) of the trustee
Australian Business Number (ABN) of the trustee
(if different to trust, otherwise leave blank)
Legal/ registered entity name of the trustee
Australian Business Number (ABN) of the trust
Legal/ registered entity name of the trust
Business/ trading name
Your business may have registered one or more business
names. If you operate under a business or trading name
enter alternate names here.
Date of registration of ABN
Is the trust GST registered? yes no
MANDATORY ATTACHMENT: You must provide a copy of the trust documents showing the
relationship of the incorporated trustee to the trust.
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C.4. Individual Details
Full name of the individual:
C.5. Commercialisation Office or Eligible Partner Entity Details
Indicate the type of organisation:
An Australian University commercialisation office,
Other publicly-funded research organisation commercialisation office, or
An approved eligible partner entity.
Organisation name:
Australian Company Number (ACN):
Australian Business Number (ABN):
Date of registration of ABN: //
Is the organisation registered for GST? Yes No
Name of associated university or research organisation:
Complete the following if applicable:
Name of researcher or individual supported by the commercialisation project:
Researcher’s or individual’s relationship to the organisation:
Briefly describe the assistance to be provided to the researcher or individual by the organisation in
the commercialisation project:
C.6. Partnership
List the names of the partners in the partnership:
C.7. Address details
Provide your Business Street
Address (Australian Head
Office).
Applicant to enter text
Address
Suburb/ town
State/ territory
Postcode
Provide your Business Postal Address.
Same as your business street address, go to next section.
Different to your business street address, provide details below.
Address Details Textbox to enter details
Address
Suburb/ town
State/ territory
Postcode
Country Australia
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For Official Use Only
C.8. Website address
Provide your business’ website address in the text box below
C.9. Project site address
Will your project’s activities occur solely at the above listed head office address? yes no
If you answered ‘yes’ go the next question. If you answered ‘no’ complete the following table.
Project site address must be a street address not postal.
Site address 1 (this is the Primary Project Site Address where the majority of the project activity will
occur)
Address Details Textbox to enter details
Address
Suburb/ town
State/ territory
Postcode
Country Australia
Site address 2
Address
Suburb/ town
State/ territory
Postcode
Country Australia
Site address 3
Address
Suburb/ town
State/ territory
Postcode
Country Australia
C.10. Latest financial year figures
Complete this question only if you are a company or an incorporated trustee applying on behalf of a
trust. Otherwise go to the next question “Related Companies”.
Has the applicant existed for a complete financial year? yes no
If you answered ‘yes’, enter the latest completed
financial year, then complete the table below.
Example entry 2013-14
If you answered ‘no’, enter the number of months
completed in financial year to date, then complete the
table below for the current year (or part year) and the
next financial year.
months
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For Official Use Only
Financial Information
Please provide a summary of your company’s financial information, excluding any related bodies
corporate. Forecasts should include project expenditure as planned and all sales revenue, but
should not show the anticipated Accelerating Commercialisation grant as income. All amounts in
the table below must show a whole dollar value e.g. $1 million should be presented as $1,000,000.
Trading Performance Previous
financial
year
yyyy/yy
($A)
Previous
financial
year
yyyy/yy
($A)
Current
financial
year
yyyy/yy
($A)
Next
financial
year
yyyy/yy
($A)
Sales Revenue (turnover)
Total revenue from the sale of goods and services,
as reported in the applicant’s Business Activity
Statement (BAS) #.
$ $ $ $
Export Revenue
Total revenue from export sales, as reported in
the applicant’s Business Activity Statement
(BAS)#.
$ $ $ $
R&D Expenditure
Expenditure on Research and Development, i.e.
creative work undertaken on a systematic basis in
order to increase the stock of knowledge,
including knowledge of man, culture and society,
and the use of this stock of knowledge to devise
new applications.
$ $ $ $
Taxable Income
Taxable income or loss as per the Applicant’s
Business Income Company Tax Return.
$ $ $ $
Net tangible assets $ $ $ $
Paid up capital $ $ $ $
Employees, including working proprietors
and salaried directors (headcount)
Individuals who are entitled to paid leave (sick
and holiday), or generate income from managing
the business.
Independent contractors (headcount)
Individuals engaged by the business under a
commercial contract (rather than an employment
contract) to provide employee-like services on
site.
# Refer to ATO guidance as to what is included in the BAS at: www.ato.gov.au.
MANDATORY ATTACHMENTS:
 Financial statements (statement of financial performance/profit and loss; statement of
financial position/balance sheet) for the previous 3 financial years (or for as many years
company has been in existence if 3 years is not available)
 Interim (year-to-date) financial statements for the current financial year
 Cash flow forecast covering the project period, showing the timing and sources of funding
and the use of the funds on eligible and ineligible expenditure and other business expenses.
The cash flow forecast should be monthly and include the grant as income received quarterly.
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Capital Raising – Additional or new
capital raised in each financial year
Previous
financial
year
yyyy/yy
($A)
Previous
financial
year
yyyy/yy
($A)
Current
financial
year
yyyy/yy
($A)
Next
financial
year
yyyy/yy
($A)
Paid in capital
Cash invested in a company. This cash may be
received in exchange for the issuance of new
equity.
$ $ $ $
Brief Description:
Debt Capital
This is any instrument that is issued in exchange
for cash that is repayable to the lender including
bank loans, personal loans, convertible debt or
other forms of indebtedness governed by a loan
agreement or similar document specifying the
terms.
$ $ $ $
Brief Description:
Grouped turnover for the past 3 financial years
Please provide turnover of your company and its related bodies corporate for the past three
financial years. Refer to the definition of ‘turnover’ in the Glossary of the Customer
Information Guide. (Add/delete rows as needed)
Names of bodies corporate
Turnover ($A)
yyyy/yy
Turnover ($A)
yyyy/yy
Turnover ($A)
yyyy/yy
Applicant:
00
0
0
0
0
0
0
0
Total combined turnover
0
0
0
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C.11. Related Companies
Does your company have an Ultimate Holding Company? yes no
If you answered ‘yes’ complete the following table. If you answered ‘no’ go to next question.
Ultimate Holding Company ABN (if applicable)
Legal/ registered entity name of Ultimate Holding
Company
Country of incorporation
Please list any related bodies corporate of your company
Two bodies corporate are related where:
 One is a holding company (ie parent) of the other;
 One is a subsidiary of the other;
Both are subsidiaries of the same holding company.
MANDATORY ATTACHMENT: You must attach a diagram of your company’s group structure
showing the legally registered name and country of incorporate of each body corporate, the
relationships and relative shareholdings within the group. This is required even if the applicant is
not part of a corporate group.
C.12. Shareholders
List shareholders in your company, the role/relationship with your company, the percentage of
issued shares each holds, and whether the shareholder is an Australian resident or an Australian-
controlled entity. Where there are more than 10 shareholders, list only the top 10.
If more than one role/relationship applies to the shareholder, choose the predominant purpose for
the investment.
Name of shareholder Role/relationship
with applicant
% of
issued
shares
Australian
resident/
controlled
entity?
% Yes No
% Yes No
% Yes No
% Yes No
% Yes No
% Yes No
% Yes No
% Yes No
% Yes No
% Yes No
C.13. General Background
Classifications
What is your company’s core business?
If your application is successful, key words will assist Expert Network members to identify
commercialisation opportunities for your project.

List a maximum of 10 keywords relating to the project that will aid in searching for your project,
technology, market or business:
What technology is core to your invention? (This is the substance of the invention, not its
intended use.). Select only one as your final answer.
Biotechnology
Application of science and technology to living organisms, as well as parts, products and models
thereof, to alter living or non-living materials for the product of knowledge, goods and services.
Software
Programs, procedures and data associated with the operation of a computer system, and includes
website design.
Technology systems and hardware
Physical computer, peripheral input and output devices, combination of software and hardware
components interacting in a systematic way.
Manufacturing, engineering and design.
Manufacturing: Technology that assists in the fabrication and/or assembly of goods or services;
does not have a biotechnology basis; does not contain significant innovation in software or
hardware necessary for the successful running of the innovation.
Engineering and design: Broad classification capturing innovations that do not fall within other
categories. May include (but not be limited to) mechanical engineering, electrical engineering, civil
engineering, chemical engineering, food engineering, food technologies and manufacturing,
materials engineering, process engineering (including process enhancements), minerals
processing, product design enhancements, industrial design, industrial processing.
What is the primary target market for the novel product, process or service? See Appendix
for definitions. Select only one as your final answer.
Automotive, aviation and marine
Business, marketing, communications
and finance
Defence, security and safety
Education and training
Environment and water management
Entertainment, tourism and
sport/recreation
Food and agribusiness
Infrastructure, housing & transport
systems
Mining equipment technology and
services
Medical technology and
pharmaceuticals
Oil, gas and energy
Original equipment manufacturer
Textiles, clothing and footwear
Other, please specify:
If applicable, please indicate other target markets for the novel product, process or service.
See Appendix for definitions. Select all that apply.
Automotive, aviation and marine
Business, marketing, communications
and finance
Defence, security and safety
Education and training
Environment and water management
Entertainment, tourism and
sport/recreation

Food and agribusiness
Infrastructure, housing & transport
systems
Mining equipment technology and
services
Medical technology and
pharmaceuticals
Oil, gas and energy
Original equipment manufacturer
Textiles, clothing and footwear
Other, please specify:
Advanced Manufacturing.
Businesses that adopt innovative technologies or business practices to improve or develop
manufactured products processes or services. This includes the adoption of improvements or
innovations across any of a range of manufacturing steps, such as concept, research and
development, design, production, logistics, marketing and after-sales services, in order to achieve
high value products, services or business outcomes, including improved responses to market
demands.
Businesses that supply services, technologies or inputs to the manufacturing processes of
businesses described above.
Does your product, process or service and/or proposed project involve advanced manufacturing?
Yes No

Other parties associated with the project
Please list parties associated with the project e.g. advisory board, project partners, contractors
(recent or ongoing relationship), competitors, suppliers, potential customers, etc including those
listed in the project budget calculator. This information is used for internal disclosure of interest
processes and to protect you from inadvertent conflicts of interests in our processes.
Company's advisory board
Labour contractors
Material contractors
Mangers
Finance managers and Experts
Name of entity or individual
Innova ltd.
Relationship to Applicant
(e.g. Advisory Board to applicant, contractor/potential contractor, supplier/potential supplier, non-
collaborative partner, licence agreement parties, competitors, unknown)
Advisory board- Board of company
Labour contrctors - suppliers
Material contractors -Suppliers
Management team - Mangers of company
Finance managers and Experts – Professional experts of company
C.14.Other Government Assistance
Has your company received any Commonwealth / State / Territory Government assistance during
the past five years?
Yes  If yes, please complete the table below.
No  If no, proceed to Project details and funding.
Please provide details of the assistance, including current applications and current grants. Add
extra rows if needed. For R&D Tax Incentive/Concession, please group all financial years into one
row.
Please also indicate whether the Government assistance relates to the same project intellectual
property that is the subject of this grant application.
Assistance source
(Agency and Programme)
Related to this
project’s intellectual
property?
From To Amount
($A)
Yes No dd/mm/yyyy dd/mm/yyyy $
Yes No dd/mm/yyyy dd/mm/yyyy $
Yes No dd/mm/yyyy dd/mm/yyyy $

Assistance source
(Agency and Programme)
Related to this
project’s intellectual
property?
From To Amount
($A)
Yes No dd/mm/yyyy dd/mm/yyyy $
Yes No dd/mm/yyyy dd/mm/yyyy $

Briefly explain the results of any government assistance received in the last five years,
specifically what the assistance was used for. Also explain any previous government
assistance obtained for the new product, process or service and what results were
achieved.
300 word limit
D. Project details and funding
D.1. Project title and description
If your application is successful, the details you provide below will be published on the
departmental website. Published project details will include:
 name of the applicant
 title of the project
 a description of the project and its intended outcomes
 amount of funding awarded.
Provide a short project title.
If the application is successful, this project title and the publication project description will be used
by the Australian Government in published material.
This is a short descriptive title for the project. For instance, do not use only the product name as a
project description.
The Government is providing grants to the company to promote such technologies that will not affect the
environment. However these grants will be provided only if the company will meet the specific criteria. The
company has to provide a grant application in which the overall project is required to be mentioned and
after the approval of such application the company will be eligible for the grant.
70 characters
Provide a brief project description for publication on our website.
This description is for the general public, so it should be written in simple terms avoiding technical
or industry specific terminology. It should be a brief explanation of the product, process or service
to be commercialised, the key target market, the key problem it solves or key market opportunity,
and how Accelerating Commercialisation support will be used to assist in commercialisation. In the
box below, please complete the description in this format:
Project Description: [Applicant] has developed [innovative product, process or service] for the
[target/priority market/industry/application sectors]. This [technology/solution] will [value
proposition/customer benefits]. Accelerating Commercialisation support will be used to help
[Applicant] commercialise this [product/process/service] and achieve [expected commercial
outcomes and/or national/global benefits].
750 characters

D.2. Project Basis
The subject of the project will be a new (select all that apply):
Product Process Service
D.3.Project Summary
MANDATORY ATTACHMENT: You are required to complete the Mandatory Attachment – Project
Summary and Merit Criteria. You must use the sample template available on business.gov.au.
D.4. Project budget calculator
Grants will be provided to fund an agreed proportion of eligible expenditure directly associated with
implementing an applicant’s project.
More information on eligible expenditure and what restrictions apply can be found in the Customer
Information Guide.
MANDATORY ATTACHMENT - Eligible expenditure must be outlined in the Accelerating
Commercialisation Project Budget Calculator. You must complete the Project Budget Calculator
available on business.gov.au.
Expenditure should be shown GST exclusive. You may be asked for additional information on
expenditure breakdown during the application process.
D.5. Project milestones and key activities.
List the Milestones you plan to achieve for your commercialisation project during the grant period.
 For services you intend to purchase, enter the relevant details under the milestone to
which you expect the service to contribute most.
 For an Experienced Executive, list the key activities to be undertaken by him/her against
the milestones to which they will contribute most.
 Milestones should be measurable outcomes that can be used by third parties to objectively
assess project progress (e.g. final prototype design accepted, trial completed, distributor
appointed, independent testing and validation completed).
 Milestones do not have to be sequential, they can and often will overlap in execution.
 Key activities are the key steps needed to reach these milestones.
 Estimated costs are sought for assessment purposes only and should only include eligible
expenditure.
Further guidance on what constitutes eligible expenditure is provided in the Customer Information
Guide.

The start date of milestone 1 is the expected project start date. The end date of your last milestone
activity will be the project end date. You can have up to a maximum of 10 milestones.
MANDATORY ATTACHMENT: You are required to complete the Mandatory Attachment –
Milestones. You must use the sample template available on business.gov.au.
D.6. Project duration
The maximum project length is 2 years. The Start date cannot be prior to formal acceptance of your
final application including all mandatory and other supporting documents. The Start and End dates
must align with the milestone table and the project budget calculator.
Project start date Project end date
1/7/2019 31/12/2020
D.7. Grant Amount Sought
The total eligible expenditure below must be the same as in the Project Budget Calculator and
exclusive of GST.
Grant amounts cannot exceed $1 million. Commercialisation Offices or Eligible Partner Entities can
only apply for grants of up to $250,000.
Total eligible expenditure from milestones ($AUD) $1000000
This figure is derived from the Total milestones costs
from Milestones Mandatory Attachment.
Estimated audit costs ($AUD)* $
Total eligible expenditure ($AUD) $
Total ineligible expenditure ($AUD) $
Enter the ineligible costs of the project that you must
be able to meet outside of the grant. 0 is acceptable.
2500000
Total project expenditure ($AUD) $3500000
Programme grant amount (AUD)* $
Grant percentage (% of total eligible expenditure) $
*The project cannot be funded by this grant in conjunction with any other Commonwealth grant.
The Total government grant percentage including non-Commonwealth government funding cannot
exceed 50%.
D.8. Applicant Contribution
Your entire share of funding is not needed at the time of application. However, you must show that
your company can match the grant progressively at the rate eligible expenditure is to be incurred
on the project, and that your company can also fund ineligible expenditure.
Explain how your company will provide all the funds (other than the grant funds) required
for the entire project including ineligible expenditure.
Enter your response below:
2000 characters

Explain how your company will fund any financial commitments unrelated to the project
during the project period (including existing business costs, if any), and how you will fund
commercialisation after project completion.
Enter your response below:
1000 characters
Enter amounts into the table below and provide details and evidence on the source(s) of
funding for your company’s share of total project costs.
Fund type Amount ($A) Description on the source of funding
Cash on hand $ e.g. recent bank statements
Cash flow $ e.g. net free cashflow (or adequate positive cashflow)
evidenced by financial statements, forward projections
and bank statements.
Director Loans $ e.g. letter of intent and evidence of ability to lend
(e.g., Directors’ bank statements)
External Loans $ e.g. loan offer from bank
Equity $ e.g. signed shareholder agreements/term sheets
Project Partner
Contribution
$ e.g. partner agreements, MOU
Other $ Please provide evidence
Total $ Total of the above amounts.
Your contribution MANDATORY ATTACHMENTS:
(1.i.1) You are required to attach evidence to demonstrate your company has the
ability to fund at least 50% of the eligible expenditure of the project, taking into
account both eligible and ineligible expenditure. You need to provide details and
evidence of your project funding strategy, indicating the sources of funding for your
share of the project. This can be in the form of balance sheets, cash flow
documents, loan agreements, investor agreements or other documents.
(1.i.2) You are also required to attach an Accountant’s Declaration to confirm
your business can fund its share of the project costs. You must use the template
available on business.gov.au. This declaration must be submitted on the
accountant’s letterhead and be in the format provided.
D.9. Intellectual property (IP)
Specify the novelty of your invention (select only one, the most relevant):
New to world
New to Australia
New to industry
New to business
Does the project depend on access to protected IP, whether owned/developed by the
applicant or a third party?
Yes  If yes, select the relevant category below.

No  If no, go to the next question.
MANDATORY ATTACHMENT(S):
Applicant developed and owns IP  Attach copy of patent/other evidence
Applicant has licensed IP from a third party  Attach signed licensing agreement
Third party will license or assign IP to the applicant  Attach evidence
If relevant, tick the boxes that indicate how you will protect any project IP necessary for
successful commercialisation.
Registered design
Copyright
Australian patent(s)
International patent(s)
If international patent(s), list countries here:
Trademark
Trade secret
Complexity of product design
Other
If other, specify here:
Please note that the Accelerating Commercialisation funding agreement has provisions requiring
Commonwealth consent prior to dealing with the project IP in certain circumstances.

D.10. Experienced Executive
An Experienced Executive is an experienced chief executive officer or other senior executive that
is expected to bring complimentary skills and experience to the business and to drive it towards
commercialisation of its novel product, process or service in the marketplace.
Are you claiming expenditure for an Experienced Executive (see Section 4.1 of the Eligible
Expenditure Guidelines)?
Yes  If yes, please complete the question below.
No  If no, proceed to Part C.9.
Describe the role and responsibilities of the Experienced Executive and how he/she will be
appointed or recruited. Explain how the Executive will enable you to realise the full
commercialisation potential for the proposed product, process or service, including specific key
performance indicators (KPIs) and achievements expected from the appointee. How do these KPIs
link to the Execution Plan and project milestones?
MANDATORY ATTACHMENT - If you have identified a suitable person, provide a brief summary
of that person and attach their CV to the application. Summarise the main terms of employment or
engagement (e.g. full/part time, hours of work, permanent/temporary, remuneration, etc.).
Enter your response below:
2000 characters
D.11. Project Development
Estimate (in years and months) the length of time you have spent on research and development for
this novel product, process or service: 1year 4 months
Estimate (in years and months) the length of time you have spent commercialising this novel
product, process or service:
D.12. Project Description for the Funding Agreement
Provide a project description for the funding agreement
This description is for the funding agreement if the application is successful, and will not be for
publication. Please provide a concise outline of what you are intending to do, key activities and
expected outcomes under the headings below.
Project Scope and Intent
Key Activities
Intended Project Outcomes
2000 characters
D.13. Conflicts of interest
Do you have any perceived or existing conflicts to declare?

A conflict of interest will occur if your private interests conflict with your obligations under the grant.
Conflicts of interest could affect the awarding or performance of your grant. A conflict of interest
can be real (or actual), apparent (or perceived) or potential.
Yes  If yes, please complete the question below.
No  If no, proceed to Part E .
Describe the perceived or existing conflict/s of interest and how you anticipate management them.
Enter your response below:
750 aracters

E. Merit criteria
You are required to complete the Mandatory Attachment –Project Summary and Merit Criteria
template available on business.gov.au.
[Title]. December 2018 23 of 33

Reflection of grant Application:-
The company has to experience a lot of things while executing this project as if
this project will be implemented properly the company will become eligible for receiving
the grant from the government (Dijk., Wells and Kemp., 2016). The project is really viable
and useful for the company as well for all the people of the world and even the project is
also practically possible. So the company need to properly focus on the project to achieve
government grant. However the company has to face various experiences. The company
might have to hire the professionals for conducting the efficient research regarding the
invention of environment friendly cars and green engines. As if there would be proper
research and proper planning then only these plans will be executed efficiently.
The second experience that the company might face is related to raising the funds.
As without adequate funds the company will not be able to execute the project properly.
However the company is planning to raise funds from such sources that are less risky as
the company is intended to offer an IPO but the company has also conducted an agreement
with the underwriters to underwrite the shares if those are not subscribed by the general
public (Tidd and Bessant., 2018). Apart from that the company has also plans for issuing
8% bonds of 10 years which will help the company to generate estimated funds i.e $10
million. The company also plans to reduce the levels of production by including the quality
checking activity in the production. This will improve the quality of cars and lead to the
efficiency. The company also intends to provide proper training to its employees as if the
employees will become trained then only they will become capable to perform the
operations of the company efficiently. It is often considered that the employees are the
important resources of an organisation who differentiates the company from its
competitors and lead the company to the achievement of goals. So the company may have
to conduct expenditure on training programmes of employees as if the employees will be
efficient the company will be able to execute its project properly.
If the company get successful in producing effective green engines and
environment friendly cars then it will provide various benefits to all the people of the
world along with the company (Nayum., Klöckner and Mehmetoglu., 2016). These cars
will helps in decreasing fuel consumption and pollution all over the world. Even the
company will try to produce the cars with advance features at low prices which will also be
beneficial. The company also intends to increase the mileage of cars along with improving
[Title]. December 2018 24 of 33

the quality of cars. Even the company has plans to promote these effective cars global level
because of which all the people of the world will become able to extract these benefits.
So this can be very useful project as it is providing various benefits at
comparatively low prices. Apart from that this strategy will also motivate other
competitors to produce eco friendly cars (Naor and et.al., 2015). Therefore through this
project the people become aware regarding increasing global warming and by using these
cars they will also contribute towards the welfare of the society. Therefore this is a viable
project for the whole world (Overcoming barriers to adoption of environmentally-friendly
innovations through design and strategy, 2015).
b.
[Title]. December 2018 25 of 33

F. Supporting documents
You should note any supporting documentation that you attach to the application here. The
following restrictions apply to attachments:
 total size of all attachments and this application form should not exceed 20MB
 only files with the following file type extension can be uploaded
(.pdf, .rdtf, .doc, .docx, .xls, .xlsx, xlsm, ppt, pptx)
F.1.Mandatory Attachment 1 – Incorporated Trustees
This is only for applicants where an Incorporated Trustee is applying on behalf of a Trust:
Question on Application
Form
Type of Attachments Attached?
Trustee and Trust Details A copy of the Trust documents showing the
relationship of the Incorporated Trustee to the Trust.
Yes, attached.
F.2. Mandatory Attachment 2 – Applicant Group Structure
Question on Application
Form
Type of Attachments Attached?
Related companies A diagram of your company group structure—
showing the legally registered name and country of
incorporation of each body corporate, the
relationships and relative shareholdings within the
group.
Yes, attached.
F.3. Mandatory Attachment 3 – Financial Statements and Cash Flow
Question on Application
Form
Type of Attachments Attached?
Financial statements and cash
flow The following are required:
 Financial statements (statement of financial
performance/profit and loss; statement of
financial position/balance sheet) for the
previous 3 financial years (or for as many years
company has been in existence if 3 years is not
available)
Yes, attached.
 Interim (year-to-date) financial statements
for the current financial year
Yes, attached
 Cash flow forecast covering the project
period.
Yes, attached
[Title]. December 2018 26 of 33

F.4. Mandatory Attachment 4 – Intellectual Property
Question on Application
Form
Type of Attachments Attached?
Intellectual Property (IP) Evidence of the project IP protection and/or licence
agreement(s)
Yes, attached.
F.5. Mandatory Attachment 5 – Project Summary and Merit Criteria
Question on Application
Form
Type of Attachments Attached?
Project Summary
Merit Criteria
Complete the Project Summary and Merit Criteria
template and attach to the application
Yes, attached.
F.6.Mandatory Attachment 6 – Project Milestones and Key Activities
Question on Application
Form
Type of Attachments Attached?
Project Milestones Complete the Milestones template and attach to the
application.
Yes, attached.
F.6.Mandatory Attachment 7 – Project Budget
Question on Application
Form
Type of Attachments Attached?
Project budget You must attach a completed Accelerating
Commercialisation Project Budget Calculator.
Yes, attached.
F.7.Mandatory Attachment 8 – Evidence of Applicant’s Contribution and
Accountant’s Declaration
Question on Application
Form
Type of Attachments Attached?
Applicant’s Contribution You must provide an Accountant’s Declaration
(refer template).
Further evidence of their project funding strategy,
indicating the sources of funding for their share of
the project, should also be provided. This can be in
the form of balance sheets, cash flow documents,
loan agreements, investor agreements or other
documents.
Yes, attached
Yes, attached..
F.8. Mandatory Attachment 9 – Experienced Executive
This is only for applicants that have applied for an Experienced Executive.
Part of Application Form Type of Attachments Attached?
Part C.8 – Experienced
Executive
CV of proposed Experienced Executive where you
have identified a suitable candidate
Yes, attached.
[Title]. December 2018 27 of 33

F.9. Optional attachments
If you wish to include additional documents these should be limited to those directly relevant to and
supporting the application. Please limit attachments to 10 pages (or 2MB) unless your
Commercialisation Adviser has agreed there is additional material of particular relevance. Please
note the total file size of all attachments in the application cannot exceed 20MB.
If applicable, please list additional attachments:
Form
question
No.
Name of document Description of attachment
[Title]. December 2018 28 of 33

G.Applicant declaration
G.1.Privacy and confidentiality provisions
I acknowledge that this is an Australian Government programme and that the department will use
the information I provide in accordance with the following:
 Australian Government Public Data Policy Statement,
 Commonwealth Grants Rules and Guidelines,
 Customer Information Guide
 applicable Australian laws.
Accordingly, I understand that the department may:
a. share information in this application with other government agencies for any purposes,
including government administration, research or service delivery; and
a. publish non – sensitive information in this application in the public domain, including on the
department’s website;
unless otherwise prohibited by law.
I confirm that I have read and understood the privacy, confidentiality and disclosure provisions
outlined in the Customer Information Guide
By checking this box I agree to all of the above declarations and confirm all of the above
statements to be true
[Title]. December 2018 29 of 33

G.2. Applicant declaration
I declare that I have read and understood the Programme Guidelines including the Customer
Information Guide.
I declare that the proposed project outlined in this application and any associated expenditure has
been endorsed by the applicant’s Board or person with authority to commit the applicant to this
project.
I declare that the information contained in this application together with any statement provided is,
to the best of my knowledge, true, accurate and complete. I also understand that giving of false or
misleading information is a serious offence under the Criminal Code 1995 (Cth).
I declare that the applicant will comply with, and require that its subcontractors and independent
contractors comply with, all applicable laws.
I understand that I may be requested to provide further clarification or documentation to verify the
information supplied in this form and that the Department of Industry, Innovation and Science (the
department) may, during the application process, consult with other government agencies,
including state and territory government agencies, about the applicant’s claims and may also
engage external technical or financial advisors to advise on information provided in the application.
I acknowledge that if the department is satisfied that any statement made in an application is
incorrect, incomplete, false or misleading the department may, at its absolute discretion, take
appropriate action. I note such action may include excluding an application from further
consideration; withdrawing an offer of funding; using the information contained in the application for
a fraud investigation that would be consistent with the Australian Government’s Investigations
Standard and Fraud Control Guidelines and for management purposes and/or terminating any
grant agreement between the Commonwealth and the recipient including recovering funds already
paid.
I agree to participate in the periodic evaluation of the services undertaken by the department.
I declare that I am authorised to complete this form and to sign and submit this declaration on
behalf of the applicant.
Is your company an individual, partnership or unincorporated trustee?
Yes  Complete the next declaration
No  If no, sign the declaration.
I warrant that, if the applicant is:
 an individual or researcher, and not applying through an Eligible Partner Entity or a
Commercialisation Office of a publicly funded research organisation, or
 a partnership or unincorporated trustee,
the applicant will establish a non-tax exempt company incorporated under the Corporations
Act 2001 (Cth) and that the company will be the signatory to the funding agreement with the
Commonwealth.
I approve of the information in this application being communicated to the department in electronic
form.
By checking this box I agree to all of the above declarations and confirm all of the above
statements to be true
[Title]. December 2018 30 of 33

By including my name in this application it is deemed to be my signature for the purpose of this
application
G.3. Signature
Name of signatory
Email address of signatory
Date
Signature
[Title]. December 2018 31 of 33

H. Appendix – Definitions for General Background
H.1. Market sector definitions
Market sector Definition
Automotive, Aviation and Marine Including but not limited to: Products and components for
automotive/aviation/marine transport (boats, submarines etc.), novel
manufacturing process related to Automotive, Aviation and Marine,
services targeting Automotive, Aviation and Marine.
Business, Marketing,
Communications and Finance
Including but not limited to: banking, insurance and management
systems, communications and media.
Defence, Security & Safety Including but not limited to: Defence related products and services,
products for home and public safety, security products and services,
including software and communications security, industrial safety
equipment not related to a specific sector.
Education & Training Including but not limited to: Education programs, tools, on-line
tools to aid in learning, delivery aids, innovations to improve
teaching.
Environment & water management Including but not limited to: recycled products, remediation,
emission reduction products, waste management systems, water
management and recycling products and systems.
Entertainment, Tourism and
Sport/Recreation
Including but not limited to: products, processes and services for use
in entertainment, tourism, sport & recreation, both for use
immediately in these sectors and supporting sectors.
Food and Agribusiness* Businesses that undertake food or beverage production, or supply
integral services or technologies to support food or beverage
production.
Businesses that provide integral services, technologies or inputs to
support primary production of food and beverages.
This definition excludes businesses that are food retailers (including
restaurants and cafes) or primary producers, except where they can
demonstrate they also substantially undertake the above activities.
Infrastructure, Housing &
Transport systems
Including but not limited to: transport systems (Roadways, rail lines
etc.), building and construction, products for the construction and
building industry (e.g. new type of air conditioners), processes and
services that support construction, building, housing, infrastructure
or transport systems.
Medical Technologies &
Pharmaceuticals*
Developing, producing or producing therapeutic, medical or
pharmaceutical products or technologies, including complementary
medicines.
Providing integral services, technologies or inputs to the
development and production of therapeutic, medical or
pharmaceutical products or technologies.
This definition excludes businesses that are hospitals, medical and
other health care services, residential care services, social assistance
services and retailers of medical and pharmaceutical goods, except
where they can demonstrate they also substantially undertake the
above activities.
Mining Equipment Technology
and Services*
Mineral exploration, extraction and mining supply chains, including
providing integral services, technologies and equipment for mining
and minerals extraction.
[Title]. December 2018 32 of 33

Market sector Definition
Oil, Gas & Energy* Engaging in the exploration, development and extraction of energy
and fuels from oil, gas, coal and uranium.
Providing integral services, technologies and equipment for use in
oil, gas and energy resource sectors.
Original Equipment Manufacturer Products that are manufactured for use in a broad range of products
in non-sector specific target markets. E.g. Computer chips, wiring
setups.
Textiles, Clothing and Footwear Including but not limited to: clothing, footwear, industrial textiles
and related services, processes and products.
H.2.Growth Sectors
Advanced Manufacturing; Food and Agribusiness; Medical Technologies and Pharmaceuticals;
Mining Equipment, Technology and Services; and Oil, Gas and Energy Resources.
*asterisk sectors represent the growth sectors that receive priority through additional credit
under Accelerating Commercialisation’s National Benefit merit criterion.
[Title]. December 2018 33 of 33