Guide to Accelerating Commercialisation Application Form Questions

This document is a guide to the Accelerating Commercialisation application form, a component of the Entrepreneurs' Programme in Australia. It outlines the questions asked in the online application, helping applicants prepare their responses and required attachments. The document covers various sections, including eligibility criteria (such as company type, turnover, and intellectual property ownership), contact details, applicant information (type of applicant, ABN, and registration details), project details, funding requirements, and merit criteria. It also provides information on supporting documents, applicant declarations, and how to seek assistance. The guide emphasizes the importance of the Customer Information Guide and general funding agreement. It also includes details on how to submit the application, either online or via email, and provides contact information for assistance. The document is designed to assist small and medium businesses, entrepreneurs, and researchers in commercializing novel products, processes, and services by providing a clear understanding of the application process and requirements.

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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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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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