Get documents about "HKDC DIP application form
Shared by: HC120808035840
-
Stats
- views:
- 4
- posted:
- 8/7/2012
- language:
- Latin
- pages:
- 10
Document Sample
Hong Kong Design Centre
Design Incubation Programme
Application Form
FOR ALL questions are ALL mandatory admission Reference Number:
OFFICIAL properly answered criteria are fulfilled
USE ONLY [ ] Yes / [ ] No [ ] Yes / [ ] No Date of Receipt:
Please read the “Notes to the Applicant”, then complete this form and submit it (in A4 FOR OFFICIAL
size hardcopy only either by mail or in person) together with the following documents. USE ONLY
1 Resume of ALL shareholders and full time employees (refer to the Application Form – Appendix) [ ]
2 Recommendation letter (ORIGINAL COPY with SIGNATURE) from a nominator to this application [ ]
3 ORIGINAL COPY of Hong Kong Business Registration Certificate [ ]
4 ORIGINAL COPY of Certificate of Incorporation, Memorandum & Articles of Association, NC1 or [ ]
AR1 form (for limited company)
5 ORIGINAL COPY of Form 1(c) (for Partnership), or Form 1(a) (for Sole Proprietorship) [ ]
6 Office layout plan (please refer to question A13) [ ]
7 TEN sets of the design portfolio, such as pictures, photos, sketch, art work...etc., of the Applicant or
its key designers preferably in A4 sized paper. The design portfolio should be the works of the [ ]
concerned designers as a student, freelance, from his / her previous and / or current jobs
Important note: Your application will NOT be processed if any of the above documents are missing. Overseas
applicants may submit item 3, 4 & 5 above later, please contact HKDC Design Incubation Programme Secretariat to
follow up.
Please submit the following at least 3 working days before the Admission Panel Meeting FOR OFFICIAL
USE ONLY
1 A presentation (preferably in PPT file format) which will be shown for 20 minutes in the Admission
Panel Meeting to illustrate the Applicant’s business strategy, background and design portfolio of its [ ]
key designers and reasons to join the Design Incubation Programme.
Important note: Your application will be treated as withdrawn if the above is not received on time or no show at the
Admission Panel Meeting
Section A : Particulars of the Applicant
(Please mark an “X” in the appropriate box)
i
A1 Name of the Applicant :
(Company Name)
A2 Date of Establishment of the
Applicant Company (month/year)
Business Registration number
(for local Hong Kong companies)
A3 Legal and Operational Status of the Applicant (Please put an “X” in the appropriate box below)
[ ] It is an independent start-up company
i) Name of the Parent
[ ] It is a joint venture, spin-off Company
or subsidiary of its parent ii) Total Number of Staff
company of the Parent Company
i
If the Applicant is a sole proprietor or partnership, state the business name registered under the Business Registration Ordinance (Cap.310).
For an Applicant registered under the Companies Ordinance (Cap 32), state the company name registered under Cap.32. The Applicant
should not be a non-profit making organization, trading or industrial association / professional body or research institute.
Effective from 4 June 2012 1 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
A4 Paid Up Capital of the Applicant
(HK$)
Have you received any [ ] NO
investment from venture i) Type of funding
capitalists / angel investors/ [ ] YES
corporate investors or ii) Amount (HK$)
Government Funding in the past
2 years iii) Date of receipt
A5 Design Focus of your main [ ] Product Design [ ] Fashion Design
business or project (please put [ ] Branding / Packaging [ ] Interior / Architecture
an “X” in ONE of the appropriate [ ] Jewelry Design [ ] Visual/ Spatial Arts
boxes) [ ] Media & communication [ ] Others (please specify)
A6 Briefly describe (in around 50 – 100 words) the products or design concepts already developed or to
be developed by the Applicant
A7 Details of ALL Shareholder(s) and Full Time Employee(s) (* Please delete as appropriate)
ii
Name HK ID Card No. / Title / Position Full Time Major Role Shareholding
(as shown in HK ID Passport No. working in as a percentage
card or passport) the Company Designer *
Yes / No Yes / No
%
Yes / No Yes / No
%
Yes / No Yes / No
%
Yes / No Yes / No
%
Yes / No Yes / No
%
TOTAL 100 %
Total Number of Design Related Members (as at the time
when submitting this application)
Total Number of Non-Design Related Members (as at the
time when submitting this application)
Total Number of Resume Attached to this Application (Each
shareholder and full-time staff should submit their resumes by
using the form in Appendix to this Form)
ii
Any full time staff of the Applicant should be based in Hong Kong and should NOT be a full time student or have full time employment
commitment with other companies or organizations.
Effective from 4 June 2012 2 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
A8 Status of Staying in Hong Kong for Key Personnel of the Applicant (Refer to A7) who does not hold
HK Permanent Residence:
Key Personnel Permitted to remain
of Applicant in HK until dd/mm/ Status of staying in Hong Kong (please where appropriate)
(Refer to A7i) yyyy
Study Employment Residence Visitor Others
A9 Disclosure of Ownership/Business Relationship with Other Companies/ Organizations
Key Personnel of Name of other companies / Position / % of Ownership / Area of
Applicant (Refer to A7) organizations that you are Responsibility
associated or have an interest in it
A10 Disclosure of Share Ownership in any incubation company in the current Design Incubation
Programme, or any other incubation programmes funded by the Hong Kong Government
Key Personnel of Company Name and incubation Position / % of Ownership / Area of
Applicant (Refer to A7) programme joined in past Responsibility
A11 Disclosure of Relationship with any Current HKDC Staff
Key Personnel of Name of Current HKDC Staff Relationship
Applicant (Refer to A7)
Effective from 4 June 2012 3 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
A12 Contact Person
iii
Name of Key Contact Person :
Day Time Phone Number: Fax Number:
Mobile Phone Number: Company Website:
Email Address: Current Office Size (sq.ft):
Current Office Address:
Correspondence Address:
iv, v
A13 Office Space Requirement
Office Size Expected at Design
Incubation Centre ( sq.ft., gross) :
Expected Move-in Date (mm/yy) :
Name of Furniture / Work Tools / Name of Furniture / Work Tools /
Area Required (sq.ft)
Equipment and Required Area Equipment
Submit an OFFICE LAYOUT PLAN
(preferably in A4 size paper) to show the
arrangement of equipment and
furniture …etc in your future office in the
Design Incubation Centre.
TOTAL AREA REQUIRED (sq. ft.)
A14 How did you know about the Design Incubation Programme?
Please put an “X” into the appropriate box(es) below, and provide additional information where necessary
[ ] Referral (Name / Company Name of Referee: )
[ ] Website (Name of Website: )
[ ] Advertisement (Name of medium: )
[ ] Seminar (Name and date of seminar: )
[ ] Other Channels (Please specify: )
iii
The contact person should a full time staff stated in A7, who will be responsible for regular contact with HKDC concerning this application.
iv
Office space will be assigned subject to the sole discretion of HKDC and space availability at Design Incubation Centre.
v
The Applicant, if admitted, should not create any nuisance, air and/or other pollution in the Design Incubation Centre. The Applicant should
reinstate the office room assigned to it upon termination of the Design Incubation Programme license agreement.
Effective from 4 June 2012 4 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
Section B: Business Plan (Business Information)
Please describe the business of the Applicant by answering ALL of the below questions.
B1 Briefly describe the key design discipline (e.g. fashion, interior, graphics)? (If you offer design
services in more than one discipline, please state all of them and indicate the priority)
Major design discipline:
Others :
B2 What new products / services will you offer in the coming 2 years? (Please attach pictures/ diagrams
or previous design items in your design portfolio for illustration, if applicable)
B3 Briefly describe the target customers / clients (those who pay), distribution channels & end-users
(those who use the products / services) (e.g. Who are they? How many? …etc)
B4 Briefly describe the design schedule for your client projects or own products? (e.g. your typical
timeline for client discussion, idea generation, design sketch, sample or prototype…etc)
B5 What are the competitive advantages of your products / designs?
Effective from 4 June 2012 5 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
B6 Give 5-year projection on revenue and net profit by filling in the below table
Revenue The
The Most Year 1 in Year 2 in Year 3 Year 4 Year 5
Previous
Sources Recent Year Incubation Incubation (Graduated) (Graduated) (Graduated)
Year
(Note: figures stated below are in HK$’000, so 800 will actually mean HK$800,000)
(a) Revenue from Pure
Design Services (e.g.
HK$ HK$ HK$ HK$ HK$ HK$ HK$
freelance design
projects)
(b) Revenue from
Client Projects
HK$ HK$ HK$ HK$ HK$ HK$ HK$
(usually involve
production work)
(c) Revenue from
Product Sales (usually
involve the production HK$ HK$ HK$ HK$ HK$ HK$ HK$
and sales of own
brand name products)
Total Revenue HK$ HK$ HK$ HK$ HK$ HK$ HK$
(a + b + c) = A
(d) Staff Cost (Salary,
HK$ HK$ HK$ HK$ HK$ HK$ HK$
MPF, allowance…etc)
(e) Material and
HK$ HK$ HK$ HK$ HK$ HK$ HK$
Production Cost
(f) Operational Cost
HK$ HK$ HK$ HK$ HK$ HK$ HK$
(e.g. Office overhead)
(g) Marketing and
HK$ HK$ HK$ HK$ HK$ HK$ HK$
Promotion Cost
Total Cost
(d + e + f + g) HK$ HK$ HK$ HK$ HK$ HK$ HK$
=B
Net Profit HK$ HK$ HK$ HK$ HK$ HK$ HK$
(A – B)
B7 Briefly describe any past track record of the Applicant / designers on similar products and design
services? (e.g. Awards, school projects, design projects with previous employers, freelance design
projects…etc)
Effective from 4 June 2012 6 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
B8 Who is the nominator for this application (Preferably someone with experience of investing in,
running and / or managing businesses)? Please state your relationship with him/her and briefly
describe his/her background. His / her nomination letter should be submitted together with this
Application Form
B9 Show the corporate structure of the Applicant by an organizational chart, and briefly explain the
job duties of the management and design team members?
B10 Briefly explain why did you set up your design company and what do you think it will become in
the coming 5 years and afterwards? Why do you think your company will be a sustainable and
successful enterprise?
Effective from 4 June 2012 7 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
Section C: Business Plan (Milestone Summary)
If admitted to the Design Incubation Programme, the Applicant’s status as an incubatee (and thus eligible to receive the support services provided
by HKDC) will be assessed according to specific accomplishments against the milestones proposed by the Applicant and approved by Design
Admission Panel. These milestones will be assessed at the 4th and 12th month after the Applicant is admitted to the Programme. Please state the
proposed milestones by filling in the table below
1. Product / Project 0 - 4th month 5 -12th month 13 - 20th month
/ Design Service
(Note: measurable and quantitative data in point form must be provided where appropriate)
Development:
(1.1) Brief description of key
design work / service for
products or projects to be
undertaken
(1.2) Number and Nature of
design sketches to be
produced
(1.3) Number and Nature of
sample / prototype / design
proposal ready for
production or delivery
(1.4) Number and Nature of
deliverables of design
service / projects / products
(1.5) Number and Nature of
other product / service /
business development plan
2. HKDC Support 0 - 4th month 5 -12th month 13 - 20th month
Services Usage
(state the usage (Note: measurable and quantitative data in point form must be provided where appropriate)
frequency)
(2.1) Number and Nature of
marketing & promotion (e.g
Business of Design Week)
(2.2) Number and Nature of
training and networking
activities (e.g. Knowledge of
Design Week, 7 + 1
Entrepreneurship for Design
& Creative Business…etc)
(2.3) Name of design related
competition / award
organized or supported by
HKDC (e.g. Design for Asia
Award)
Effective from 4 June 2012 8 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
3. Business 0 - 4th month 5 - 12th month 13 - 20th month
activities and
results (Note: measurable and quantitative data in point form must be provided where appropriate)
(3.1) Number and Nature of
Business Partnership
(manufacturer,
distributor,. …etc)
(3.2) Number and Nature of
Sales & Marketing Activities
(3.3) Number and Nature of
Clients Obtained (state the
client names if known)
(3.4) Number and Nature of
Award Application
(3.5) Number and Nature of
Patent / Trade Mark
Application
(3.6) Number and Nature of
Fund Raising Activities (e.g.
HK Business Angel Network,
Youth Business Hong
Kong…etc)
(3.7) Number and Nature of FT: FT: FT:
Headcount (Full or part time)
PT: PT: PT:
at end of the period
(3.8) Sales Revenue in the HK$ HK$ HK$
period (HK$’000)
4. Cash Flow Projection 0 – 4th month 5 – 12th month 13 – 20th month
(HK$’000) (Note: figures to be stated below are in HK$’000, so 800 will actually mean HK$800,000)
(1) Opening Cash Balance
[Paid-up capital, investor money, HK$ HK$ HK$
director/ shareholder loan, etc.]
Additional Cash Injection:
(a) Paid-up capital, investor
HK$ HK$ HK$
money, director / shareholder
loan.., etc.
(b) Sales revenue (Cash) HK$ HK$ HK$
(c) Government / NGO funding
HK$ HK$ HK$
(Cash)
(2) Total Cash In HK$ HK$ HK$
i.e. (a) + (b) + (c)
(3) Total Cash Out
(e.g. salaries, office operational cost,
HK$ HK$ HK$
production cost, sales & marketing
expenses…etc)
Closing Cash Balance
HK$ HK$ HK$
i.e. (1) + (2) – (3)
Note: “Closing Cash Balance” of each period is the SAME as “Opening Cash Balance” in the NEXT period
Effective from 4 June 2012 9 HKDC-DIP-application-form (v002)
Hong Kong Design Centre
Design Incubation Programme
Application Form
Declaration by the Applicant
I, _______________________ (name as shown in HKID or passport) on behalf of
_____________________________________________ (Company Name of the Applicant), its shareholders and
its employees, have read and fully understood the terms and conditions (including the mandatory admission
criteria and the related indemnity provisions) and all notes and terms in this application form and “Notes to the
Applicant”.
I hereby declare, on my own behalf and on behalf of the Applicant, its shareholders and its employees, that:
The information and content provided in this application form and from this date forward is true, accurate,
complete, up-to-date and not misleading.
I understand that any incorrect information or content of false statement may result in the termination of the
application process and Incubation License Agreement (if signed), the loss of status as an incubatee and all
the related support and services to be provided by HKDC, and I may be liable to prosecution.
I understand that the information and content provided in this application form will be vetted by HKDC staff and
external assessors. HKDC will handle all information in this application form in the strictest confidence
I understand that the indemnity provision contained in the Incubation License Agreement (if signed) and / or
“Notes to the Applicant” may mean that (amongst other things) the Applicant will have to repay any benefit that
HKDC has provided to it.
The business of the Applicant and the proposed project is original and does not infringe any existing
intellectual property right of other individuals or companies.
I shall constantly update the information and content provided and shall inform HKDC immediately if there are
any changes to the information or content that I have provided to HKDC whether in this application form or
otherwise
Authorized Signature with the Full Name of the Signatory Company Name of the
Applicant’s Official Stamp Applicant
(if applicable)
Date of Signing
Effective from 4 June 2012 10 HKDC-DIP-application-form (v002)
