Accomodation at the BIC

Please fill in the form below and click on submit.

Fields marked (*) are required

Personal Details

Applicant's Name*:

Position/Title*:

Address*:

Postcode*:

Telephone*:

Please indicate whether home or work, and which should be used for contact.

Company Details

Status:

Registration No:

Company Name:

Address:

Postcode:

Tel No.:

Fax No.:

Email Address:

Web Address:

Years Trading:

No. of Employees:

Product/Service

Please give a general description of your product/service and indicate how you feel it is unique.

Technical Content

Please indicate whether your product/service makes a technical improvement or contribution to the business sector you wish to operate in. Indicate whether any patents have been sought or granted.

The Market

Please indicate the proposed market for the product/service. How will your product/service make an impact on this market. Attach any market research carried out.

Competition

Please indicate the main competitors and advantages that the product/service holds over the competition.

Current Assistance

Please indicate all agencies or organisations that have been contacted so far, with contact names if possible, and list any grants or awards that have been approved.

Premises Needed (current and future)

Please indicate your estimate of building/office/production needs over the next three years based on the projected business development.

Personnel

Please indicate an estimate of new staff needed for the business to develop, with projected positions and time scales if possible. Who are current key personnel and their respective duties.

Funding

Please indicate the amount of funding that you estimate the business will need over the next 12 months; 2 years. Please indicate your expectation of funding sources and the current situation with actual amount of funding in place.

Assistance Required*

Please indicate what assistance you consider would be most helpful to achieve your business development objectives.

Accounts

If accounts are available, please provide copies. Should yours be a new business start up please use 'projected' box for first years trading.

Turnover

Year 1	Year 2	Year 3	Projected

Gross Profit

Year 1	Year 2	Year 3	Projected

Net Profit / Loss

Year 1	Year 2	Year 3	Projected

Fixed Assets

Year 1	Year 2	Year 3	Projected

Current Assets

Year 1	Year 2	Year 3	Projected

Current Liabilities

Year 1	Year 2	Year 3	Projected

Long Term Liabilities

Year 1	Year 2	Year 3	Projected

Share Capital

Year 1	Year 2	Year 3	Projected

Profit & Loss Balance

Year 1	Year 2	Year 3	Projected