Formulaire de demande d'aide pour des projets RDI - … · Web viewApplications are collected and submitted to a panel of experts, which meets about three times a year, for evaluation

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FUNDING PROGRAMME PROOF OF BUSINESS

APPLICATION FORM This form must be submitted electronically via

[email protected]

Name of the company

"Title of the project"

Start date of the project DD/MM/YYYYDuration of the project XX months

Total budget amount € XXXX

Requested funding XX %Requested funding amount € XXXX

INNOVIRIS –Brussels Institute for the Promotion of Scientific Research and Innovation Funding applicationChaussée de Charleroisesteenweg 110, B-1060 Brussels Form [version October 2019]T: 02.600.50.34 Page 1

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Background information

In a climate in which many innovative technology start-ups invest a lot of time and resources in R&D, it is common for some companies to consider developing a technology without even having identified a specific market need to which the technology can respond, or for the results of technological developments not to fit a market-ready product. This is primarily due to the fact that a robust, pre-validated business strategy, i.e. before the product or service portfolio is put together, is often lacking. In addition, too much time, money and effort is often spent on strategies that turn out to be ineffective.

More and more starting entrepreneurs indicate that they need support from experienced entrepreneurs or entrepreneurs with similar backgrounds, to gain experience and maturity (daily management and adjustment of the business strategy, long-term vision and operational choices, looking for investors and funding, good management practices, market penetration, internationalisation, etc.).

Based on these observations, Innoviris has decided to offer a Proof of Business (POB) tool via this form, possibly in combination with a Proof of Concept (POC), to Brussels technology companies planning to launch their first innovative product/service on the market.

Aim and philosophy of PROOF OF BUSINESS

The main purpose of this funding programme is to demonstrate that the business component is in line with the development of a first innovative product/service and that the product/service is well integrated into the overall business strategy, with a view to growth and long-term sustainability. For one (or more) specific need(s) previously identified on the market, the programme therefore aims to validate the working hypotheses used to demonstrate the relevance of a value proposition and the credibility of a business model linked to the development of a technological product or service, in order to effectively meet this need.

In concrete terms, financial support is provided in the form of a subsidy of 50 to 70% (depending on the size of the company) of the expenditure, linked to a budget of up to 100,000 euros justified by the applicant company. This budget is intended to cover the costs of demonstrating the POC/POB in relation to the development of a first technologically innovative product/service, regardless of its nature (ICT, health, environment, chemistry/biotech, etc.).

The proposed work programme must include the tasks linked to the demonstration of a Proof of Business (POB), possibly supplemented by tasks linked to the demonstration of a Proof of Concept (POC), if this does not already exist. In other words, as indicated above, this programme can only provide financial support for the demonstration of the economic relevance of products/services that are sufficiently technological and innovative to proceed with the drawing up of a POB.

The proposed work programme must last at least 3 months, but not more than 9 months

Tasks and assignments accepted for a proof of business/proof of concept within the funding programme

The following tasks are eligible:

- For the (possible) Proof of Concept part : demonstrate the technical feasibility and viability of an innovative technology, method or idea aimed at developing a technologically disruptive product/service:

o Development of a prototype


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o Validation trialso Field testso Etc.

- For the Proof of Business part : validation of the global strategy/business model linked to a developed innovative product/service, in particular:

o Market research and establishing the commercial offering of the product/service and its integration into the overall business strategy

o Preparation of a distribution network for the developed product/serviceo Testing and validating priceso Starting up pre-orderso Validation of the POC (Proof of Concept) among test groupo Etc.

The following tasks are de facto excluded: development of a minimum viable product (MVP), global market study (macro), start-up of production, protection of intellectual property, accounting/marketing, etc.

Eligibility conditions for aid

In order to be eligible for financial support from the BCR under this funding programme, the applicant must:

have as the underlying objective of their application the development of an initial technologically innovative product/service (no portfolio for existing product/service);

demonstrate genuine anchoring in Brussels;

demonstrate the beneficial impact of the project on the economy, employment and the environment of the BCR;

justify the incentive effect of the support on the implementation of the defended work programme;

have met all the obligations relating to previous aid granted by the BCR;

prove that it can take on part of the proposed financing budget.

have set up his business no later than the day of submission of this completed application form.

Selection/evaluation of applications

- Applications are collected and submitted to a panel of experts, which meets about three times a year, for evaluation.

- The composition of the jury is, in principle, as follows:- - an Innoviris technical advisor, responsible for assessing the innovative technological character of

the product/service and the overall relevance of any proposed POC, as well as the tasks associated with it in the work programme.

- - an Innoviris financial advisor, a CEO of a Brussels company and an expert from the financial and technological world (representative of a business angel, venture capital company, bank or other financial institution), who are jointly responsible for assessing the relevance of the POB approach


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and the related tasks in the defended work programme.

The panel thus composed will evaluate the projects and of course has a duty of confidentiality, which it observes by means of a confidentiality obligation that can be requested from Innoviris.

Each application must be defended by an oral pitch by the team responsible for the implementation of the defended work programme for the jury, followed by a round of questions. At the end of the session, a deliberation will take place behind closed doors and a decision will be taken on whether or not to fund the project.

As the decision on whether or not to fund the project is taken at the end of each jury meeting, it is crucial that the information provided in this form is complete, detailed and substantiated.

Finally, it should be noted that this financial support cannot be combined with the funding programme for feasibility studies, which is also provided by Innoviris.


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Deel A. Summary sheet


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A.1. Identity of the applicant

- Name of the company:- Address of the registered office:- Address of the operating headquarters (if different from the registered office):- Company number:- Date of incorporation:- Bank account number (IBAN):- How did you come into contact with PROOF OF BUSINESS?:

A.2. Project and company manager(s)

- Surname and first name:- Function:- Contact details (tel + email):

A.3. Description of the project

Hide this information

Summarise the project here in a few sentences: Summarise your value proposition, the market needs which need to be met by the solution to be developed, and the objective of the POB. PLEASE NOTE: the information in this summary may be used by Innoviris in its external communication (e.g. annual report).

A.4. Start date and duration of the project


NB: The project can only start after the date on which Innoviris has received your application. The project can start at the earliest on the 1st of the month following the submission of the application.

Project with a duration of …….. month(s) from ... / … / 20 … to … / … / 20 …


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Deel B. Presentation of the company


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B.1. Background and activities


A brief description of the company and in particular of its background (origins, significant events, experience, etc.) and its activities (description of the product/service portfolio, market, staff, customer/supplier relationships, etc.) is given here.

B.2. Composition of the share capital

Hide this informationIndicate the profile of the shareholders in the table below.

Amount of the capital €k

Name Identification Percentage or number of sharesABC NV BE00 1122 3344 10% X

Mr. ZYZ Natural person 5% X

... ... ... …

... ... ... …

... ... ... …

Total number of shares X


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B.3. Size of the company

Hide this informationTick the size of your company below.

To be able to carry out the usual checks, please also indicate the following here:- The total turnover of your last available financial year- The balance sheet total of your last available financial year- The total number of employees (in FTEs) for your last available financial year

Size of the company VSE/SE (micro-company)

B.4. Financial data

Hide this informationAttach a copy of your last filed balance sheet/profit and loss account (if available) as an attachment. Also state the expected results for the current financial year.

B.5. Financial state support

Hide this informationIndicate here all the financial support that the company receives or has received in the last 5 years at regional, federal and European level (type of subsidy, objective, amount and date of award). Also indicate any support currently applied for by the company, even if not yet awarded.


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Deel C. Presentation of the project


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C.1. Presentation of the project (be explicit but concise!)

C.1.1 Reason for and context of the project to develop an initial innovative product/service

Hide this information Describe the identified market need(s) which your initial innovative product/service is

expected to meet. - Describe how you think that further technological developments can effectively address

these needs. Clearly state your value proposition in one sentence and describe in detail the technological and business unknowns which need to be tested within the framework of the POC/POB, in order to validate this value proposition. Demonstrate the need to establish a POB and POC (if applicable).

C.1.2 Technological and strategical positioning

Hide this information Describe and justify the technological positioning of the company with regard to the innovative

product/service developed (choice of materials and components, used instruments and services of third parties, applied techniques, etc.).

Describe and justify the strategic and business positioning in which the technologically innovative product/service fits (identification of the market and the needs of the customer, intended integration of the developed innovative product/service in the global commercial offering of the company, the targeted business model, strategic points of attention, etc.).

C.1.3 Implementation of the POC/POB

Hide this information Describe the utility and tasks to be carried out in the context of the POC/POB. Explain the methodology for the implementation and management of the proposed POC/POB.

If certain tasks are carried out by subcontractors, indicate how these tasks will be coordinated and followed up by the company.


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C.2. Detailed work programme for the POC/POB (be explicit but concise!)

Hide this informationUsing the description of the implementation programme, it must be possible to assess how relevant the approach is, how feasible achieving the objective is within the stated timeframe, and whether the resources correspond to the tasks to be implemented.

The programme includes the tasks related to both the realisation of the possible Proof of Concept and the realisation of the Proof of Business. The programme also aims to explain in detail each technical and business assumptions to be tested in the context of this PROOF OF BUSINESS application with a view to demonstrating the POC/POB.

Example: Divide the work programme into work packages, indicating the following elements:WP X: ....

FTE Start month Duration

In any event:- Give a short description of the aim of every work package- Give a more detailed description of the actions to be implemented for each work package, the

methods and techniques, and briefly explain how each task will be implemented.- Indicate when and to what extent any subcontracting services are necessary.- Describe the tangible results that are expected at the end of each work package.- Give an estimate of staff working time for each stage.


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C.3. Budget

Hide this informationDraw up a project budget for the period in question (including subcontractors and partners) on the basis of the proposed model.

If your company is subject to VAT, the expenses must be charged without VAT.

Staff costs:Expenditure for technical and business staff (salaried and self-employed, make a clear distinction) that is part of the team responsible for the project.

Operational costs (unit price * quantity):Current expenditure for:

supplies, materials, products and services directly linked to the implementation of the project; the acquisition of technologies; the purchase of patents or licences from third parties; etc.

Investment costs:These costs relate to the depreciation costs of the equipment used for the project:

hardware (computers, screens, servers, cameras, etc.); software (user rights or licences); industrial machines; etc.

Depreciations are calculated as follows: IT material:

(quantity * unit price * number of months of use during the project * percentage of use) / 36 Other material:

(quantity * unit price * number of months of use during the project * percentage of use) / 60

General costs:This is a fixed amount to cover the additional costs arising from the implementation of the project (secretariat, accounting, telecommunications, periodicals, travel in Belgium, etc.). This fixed amount is 10% of the sum of the operating costs (2) and the staff costs (1.1).

Costs for subcontractors: The costs for advice or similar, used exclusively for the project; Work by third parties (outsourced work);

PLEASE NOTE: Attach the specifications and quotes of the subcontractors.


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1. Staff costs 0 €

1.1 Employees 0 €

Name Diploma Function Assignment (%) Cost

1.1.1 100.00%

1.1.2 100.00%

1.1.3 100.00%

1.2 Self-employed 0 €

1.2.1 30.00%

1.2.2 50.00%

2. Operational costs 0 €

2.1 Item 1 Description (if necessary) number of items X price

2.2 Item 2 Description (if necessary) number of items X price

3. Investment costs 0 €

2.1 Material 1 Description (if necessary)

2.2 Material 2 Description (if necessary)

4. General costs 0 €

10 % (Operational costs + employee costs) 0 €

5. Subcontracting 0 €

5.1 Subcontractor Description

5.2 Subcontractor Description

TOTAL BUDGET 0 €TOTAL SUBSIDY 0% 0 €CONTRIBUTION OF THE COMPANY 0 €

number of items X price X (number of months in use/number of months depreciation

number of items X price X (number of months in use/number of months depreciation

- Briefly justify the costs mentioned in headings 2, 3 and 5 of the budget:


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Deel D. Valorisation of the project


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D.1. Market research and valorisation prospects (be explicit but concise!)

D.1.1 Prior market research

Hide this informationDescribe here how you have identified the market need that you want to address with your product/service and how you have built up your value proposition, regardless of the unknowns that still need to be tested in the context of the project. Also present the expected benefits of your innovation compared to the products or services of potential competitors.

D.1.2 Business plan/Business model

Hide this informationProvide a detailed explanation of the targeted business model, the depth of the target market and the working assumptions to be tested in the context of the POC/POB. Tools such as the business model canvas or the value proposition canvas can help you with your approach.

D.1.3 Financial plan

Hide this informationAdd here or in the appendix a complete financial plan (over at least 3 years), in which you justify the underpinning assumptions and explain the unknown factors to be tested in the context of the POC/POB, as well as their translation in terms of possible impact on the general financial situation of the company.

D.1.4 Valorisation of the project in the BCR

Hide this informationIn detail, explain the relevance of the innovative technological project to the sustainability and growth of the company, its workforce, its anchoring in Brussels, the possible impact at national or international level, as well as the possible indirect social spin-off (beneficial impact on the environment, quality of life, sustainability, etc.).


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Deel E. Attachments and signature


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E.1. Documents to be obligatorily appended

a bank statement (please note: official document issued by a bank)

the CVs of the key persons

the complete and detailed planning, including an electronic version

the specifications and quotes of subcontractors

the business plan that has to be assessed in the context of the POC/POB of the product or company (including the financial plan)

any useful documents proving that the company is able to finance its share of the costs

any other document which may serve to support the application for financing: o List of attached documents:

E.2. Sworn declarations and undertakings

I/we, the undersigned, (SURNAME(S) – FIRST NAME(S) with function………………….……………………………………………………………………………………………… confirm that the company …………………………………… is/are familiar with the following rules and undertake(s) to comply with them (tick the relevant boxes):

the company is in compliance with its tax and social security obligations; the project/programme was not started before the application was submitted to Innoviris; the company has a method in place to monitor and follow up on the costs of the

project/programme or, alternatively, shall make arrangements to implement such a mechanism prior to the commencement of the project/programme in order to account for, and control, the costs attributed to it;

the project/programme is not being implemented to the benefit of third parties, either wholly or partially;

the company will be the owner of the results of the project/programme as regards the know-how and the technical intellectual property rights;

the costs to be attributed to the project/programme shall neither wholly nor partially be covered by other public support. The company also undertakes not to submit a new application for cofinancing to any other regional, national or Community authority for costs falling within the scope of the project/programme;

the company enjoys a sound financial position and has not initiated any insolvency procedure; the company undertakes to immediately notify Innoviris of any significant change in the context of

the project/programme (e.g., the cessation, suspension, or reduction of the scope and extent of the project/programme, etc.) or its situation (among other things in cases of insolvency, etc.)

the company will reimburse the awarded grant, plus the prevailing legal interest rate, if it does not manage the project/programme in an appropriate manner or in accordance with the rules, or if it does not comply with one or more of its obligations.


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E.3. Possible conflicts of interest

Hide this informationDuring the evaluation process, your PROOF OF BUSINESS application may be assessed by a panel made up in particular of Brussels-based company directors and representatives of financial institutions (e.g. Finance.Brussels, business angels, banks, venture capital companies, etc.). In order for Innoviris to guarantee the most confidential and neutral treatment of your application, you can use this section (if necessary) to list any identified conflicts of interest (name of the person, function/institution represented, nature of the identified conflict of interest).

E.4. Permission and signature

I give Innoviris permission to carry out the necessary research for this application and certify that the information contained in this form is accurate and reliable.

Date: Authorised signature:
