Expert Assistance Grant Scheme Application Form




NEW ZEALAND GAZETTE

No. 120

EXPERT ASSISTANCE GRANT SCHEME

APPLICATION FORM

BDB Ref:

Please read the pamphlet entitled “The Expert Assistance Grant Scheme” available from Business Development Boards, before filling out this application form.

All parts of this application form must be completed.

Two specific information requests are made in this form - one relates to the applicant’s gender and the other to their ethnicity. The only reason for seeking this information is to, firstly, monitor the growing role of women in business and, secondly, to monitor assistance to Maori - given the mainstreaming of Mana funding.

PART A - GENERAL INFORMATION

  1. Full name of applicant:

  2. Trading Name (if different from above):

  3. Postal Address:

    Street Address:

  4. Telephone Number:

    Fax Number:

  5. GST Number:

    Date of GST registration:

    IRD Number:

  6. Contact: The contact person can only be:

    • a salaried employee of the applicant;
    • a member of the organisation; or
    • the individual applicant.

    Person:

    Designation:

    Telephone Number (if different from above):

  7. Status of applicant:

    • [ ] Registered company
    • [ ] Individual
    • [ ] Partnership
    • [ ] Other - please specify
    • [ ] Co-operative
  8. Does the applicant identify itself as:

    • Maori Y/N
    • under Maori ownership Y/N

    If yes to either of the above, please specify the applicant’s tribal affiliation(s):

  9. What is the applicant’s gender? If the applicant is not an individual but, for example, a registered company, partnership, group of people, etc please answer this question by noting the gender of the owner, major shareholder, spokesperson, etc.

    • Male/Female
  10. Detail the name and address of any subsidiary/associate/parent companies/organisations.

  11. When did the applicant commence active trading? /19

  12. Describe the goods/services provided by the applicant.



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VUW Te Waharoa PDF NZ Gazette 1993, No 120


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✨ LLM interpretation of page content

🏭 Expert Assistance Grant Scheme Application Form (continued from previous page)

🏭 Trade, Customs & Industry
Grant application, Business Development Board, Gender, Ethnicity, Maori funding