Foirm iarratais ar dheontas / teimpléad de phlean gnó (micreafhiontar)

Grant application form / business plan template (microenterprise)

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Cuid 1

Section 1

Sonraí an Iarratasóra
Applicant Details

Ainm an Iarratasóra* *i gcás cuideachta theoranta cur isteach ainm na cuideachta le do thoil 
Applicant Name *if the applicant is a limited company please insert the company

Uimhir Chláraithe na Cuideachta (más ann di)
Company Registration Number (if applicable)

Seoladh an Iarratasóra *i gcás cuideachta cur isteach seoladh na cuideachtale do thoil 
Applicant Address If incorporated please insert company address

Éirchód
Eircode

Cód NACE (cód ceart ag teastáil)
NACE code (exact code required)

* Is ionann Cód Nace agus córas rangaithe a úsáidtear in Éirinn agus ar fud na hEorpa a rangaíonn gnóthaí de réir a gcuid gníomhaíochtaí gnó – féach

*Nace Code is a classification system used in Ireland and throughout Europe that groups organisations according to their business activities.

NACE Code finder here

Uimh. PPS an Iarratasóra (nó uimhir chánach na cuideachta)
Applicant PPS No (or company tax number)

An bhfuil an gnó / gnó beartaithe cláraithe do CBL?
Is the business / proposed business VAT registered?

An bhfuil an gnó / gnó beartaithe cláraithe do CBL? / Is the business / proposed business VAT registered?

Má tá, tabhair an Uimhir CBL
If Yes, please supply VAT No

Ainm Teagmhála an Iarratasóra
Applicant Contact Name

Uimh. theagmhála fóin an Iarratasóra
Applicant contact telephone number

R-phost teagmhála an Iarratasóra
Applicant contact email

Suíomh gréasáin an Iarratasóra (más ann dó)
Applicant website address (if applicable)

Cuid 2

Section 2

Struchtúr an Ghnó, más ann dó, nó struchtúr beartaithe an Ghnó, más gnó nua é
Business structure, if existing, or proposed business structure, if new

Struchtúr an Ghnó, más ann dó, nó struchtúr beartaithe an Ghnó, más gnó nua é / Business structure, if existing, or proposed business structure, if new

Más “eile”, sonraigh le do thoil
“Other”, please specify

I gcás cuideachta, an bhfuil an chuideachta mar chuid de ghrúpstruchtúr
If a company, is the company part of a group structure

I gcás cuideachta, an bhfuil an chuideachta mar chuid de ghrúpstruchtúr / If a company, is the company part of a group structure

Má tá, tabhair sonraí faoin ghrúpstruchtúr agus faoi na cuideachtaí gaolmhara (lena n-áirítear ainmneacha grúpchuideachtaí eile, díolacháin iomlána agus líon iomlán na bhfostaithe sa ghrúpa)

If yes, please provide details of the group structure and associated companies (including names of other group companies, total sales and total number employed across the group)

Struchtúr Úinéireachta (i gcás cuideachta nó struchtúr dlí eile)
Ownership Structure (if a company or other legal structure)

Ainm an Scairshealbhóra
Name of Shareholder

% Scairsheilbh
% Shareholding

Méid infheistithe
Amount invested

Le comhlánú ag príomhaithe, scairshealbhóirí / stiúrthóirí atá / a bheidh páirteach sa ghnó

Más cuideachta í, tabhair an ról sa chuideachta, m.sh stiúrthóir, scairshealbhóir, srl.

To be completed by all promoters / shareholders / directors who are or who will be involved in the current or proposed business.

If a company structure, please specify your role in the company e.g. shareholder, director etc.

Príomhaí 1
Promoter 1
_

Ainm 
Name

Seoladh
Address

Fón
Telephone

R-phost
Email

Do Chumas sa Ghaeilge
Your Irish Language Proficiency 

Checkboxes

Príomhaí 2
Promoter 2
_

Ainm 
Name

Seoladh
Address

Fón
Telephone

R-phost
Email

Do Chumas sa Ghaeilge
Your Irish Language Proficiency 

Checkboxes (copy)

Príomhaí 3
Promoter 3
_

Ainm 
Name

Seoladh
Address

Fón
Telephone

R-phost
Email

Do Chumas sa Ghaeilge
Your Irish Language Proficiency 

Checkboxes (copy) (copy)

Cuid 3

Section 3

Tionchar an Tionscadail ar an Ghaeilge
The Impact of the Project on the Irish Language

Tá sé mar aidhm ag Údarás na Gaeltachta pobail Ghaeltachta rathúla agus inbhuanaithe a chothú, inarb í an Ghaeilge an phríomhtheanga phobail. Tá forbairt na fiontraíochta i gcroílár ár Straitéise leis an Ghaeltacht a fhorbairt agus a neartú mar áit ina bhfuil spiorad na fiontraíochta á chur chun cinn go láidir agus ina bhfuil fonn ar fhiontraithe gnólacht a bhunú, a lonnú agus a fhás.

Ní mór d’Údarás na Gaeltachta measúnú cúramach a dhéanamh ar an tionchar a bheidh ag aon tionscadal nua fiontraíochta ar an Ghaeilge. D’fhéadfadh sé go mbeadh tionchar tairbheach, neodrach nó diúltach ag toga fiontraíochta ar an Ghaeilge sa cheantar ina bhfuil sé le lonnú / lonnaithe. Iarrfar ar iarratasóirí plean teanga, mar atá leagtha amach thíos, a chur i bhfeidhm mar choinníoll maoinithe.

Beidh tacaíocht agus comhairle ar fáil don iarratasóir ón Údarás le coinníollacha teanga a chomhlíonadh nó le plean teanga saincheaptha a chur i bhfeidhm. I bplean teanga, leagtar amach roinnt céimeanna praiticiúla chun úsáid na Gaeilge a spreagadh sa ghnó ag brath ar an chineál gnó atá i gceist, na margaí ar a mbeifear ag díriú, riachtanais na bhfostaithe agus an plé leis an phobal áitiúil. I measc na ngníomhaíochtaí a d’fhéadfadh a bheith mar chuid de phlean teanga, tá:

• Ainm an Ghnó, Brandáil
• Comharthaíocht Inmheánach & Sheachtrach
• Ábhair mhargaíochta agus phoiblíochta/ Suíomh gréasáin & Meáin Shóisialta
• Polasaí earcaíochta
• Polasaí maidir le Freagracht Shóisialta Chorparáideach

Is deis é an plean teanga le cabhrú le gnó an iarratasóra a fhéiniúlacht a chruthú/a fhorbairt, a fhreagracht shóisialta agus chorparáideach a léiriú don phobal ina bhfuil an gnó lonnaithe/le lonnú, agus leas a bhaint as an dea-thoil atá ann i leith na Gaeilge. Tá comhairle, saineolas agus tacaíochtaí airgeadais ar fáil ón Údarás le tacú le feidhmiú an phlean teanga.

Údarás na Gaeltachta’s aim is to foster and support thriving and sustainable Gaeltacht communities where Irish is the main community language. Enterprise development is at the heart of our Strategy as we seek to develop the Gaeltacht as a place where the spirit of entrepreneurship is strongly promoted and entrepreneurs would wish to set up, locate and grow a business.

Údarás na Gaeltachta must carefully consider and assess the impact of any new enterprise project on the Irish language. A project may have a beneficial, neutral or negative impact on the language in the area in which it is based / to be based. All grant applicants will be required to agree to implement a language plan, as set out below, as a condition of funding.

Support and advice will be available to the applicant from Údarás na Gaeltachta to assist in meeting language conditions or in implementing a tailor-made language plan. A language plan sets out a number of practical steps to encourage the use of Irish in the business depending on the type of business, the markets being targeted, the needs of employees and the dialogue with the local community. A typical language plan will include some or all of the following elements:

• Business Name, Branding
• Internal and External Signage
• Marketing and Publicity Materials / Website & Social-Media
• Recruitment policy
• Corporate social responsibility policy

The language plan is an opportunity to help the applicant’s business to create/develop its own identity, to illustrate an understanding of its corporate and social responsibilities to the local community in which the business is based / is to be located and to take advantage of the goodwill that exists for the Irish language. Financial and other supports are available from Údarás to support the implementation of the language plan.

Deimhniú
Declaration

Deimhním(id) leis seo go bhfuil mé / muid sásta Plean Teanga, ag tabhairt san áireamh na réimsí mar atá leagtha amach thuas, a aontú agus fheidhmiú mar choinníoll i dtaca le haon mhaoiniú a bheidh ceadaithe.

I / we hereby confirm that I / we are happy to agree and implement a language plan, including the elements set out above, as a condition of any funding received.

Deimhním

Cuid 4

Section 4

Staid reatha an Ghnó / Stair Thrádála
Current status / Trading History

An gnó nua é seo (i. atá le bunú) nó an gnó é atá bunaithe cheana féin?
Is this a new business (to be established) or an existing business?

New Business / Existing

I gcás Gnó Nua (nach bhfuil ag trádáil faoi láthair) is féidir dul díreach ar aghaidh chuig Cuid 5
If a New Business (not currently trading) please go to Section 5

I gcás Gnó reatha líon an méid seo leanas
If an existing Business please complete the following

An bhliain a tosaíodh i mbun trádála
Year trading commenced

Dáta críochnaithe na bliana airgeadais iomláine deiridh
Last full financial year end date

Cóip de na ráitis airgeadais is deireanaí leis seo
Copy of most recent financial statements attached

ráitis airgeadais
Click or drag a file to this area to upload.
Upload your recent financial statements

Cuid 5

Section 5

Plean Forbartha Gnó Beartaithe
Proposed Business Development Plan

Achoimre ar an Togra Bheartaithe

Tabhair achoimre anseo ar an togra atá beartaithe, bíodh sé ina ghnó úr nó ina chéim úr de ghnó reatha. Glac na nithe thíos san áireamh i do fhreagra:

  • Tabhair breac-chuntas ar staid reatha an ghnó, más gnó reatha é
  • Deán cur síos ar an tionscadal atá beartaithe agus a bhfuil tacaíocht á lorg ina leith anseo
  • I gcás gnó reatha, cén chaoi a gcuideoidh an togra atá beartaithe le do straitéis fhoriomlán ghnó a bhaint amach?

Summary of Proposed Development
Please summarise the proposed project, whether a new business venture or a new project in an existing business. Please consider the following in your response:

  • Give a short summary of the current business status, if an existing business
  • Outline the specific project for which you are now seeking support?
  • If an existing business, how will the proposed project contribute to the achievement of your overall business strategy

Táirge/Seirbhís

Tabhair cuntas anseo ar an chineál gnó atá idir lámha (i gcás gnó reatha) chomh maith le cur síos ar an táirge/seirbhís atá beartaithe. Glac na nithe thíos san áireamh i do fhreagra:

  • Réimse táirgí atá á soláthar ag an ghnó (más gnó reatha é) agus / nó réimse táirgí atá beartaithe mar chuid den fhorbairt seo
  • Réimse seirbhísí atá á soláthar ag an ghnó (más gnó reatha é) agus / nó réimse seirbhísí atá beartaithe mar chuid den fhorbairt seo

Product/Service
Describe the nature of the current business (if an existing business) together with a description of the proposed new product or service. Please consider the following in your response:

  • Details in relation to range of products being supplied (if an existing business) and / or to be supplied as part of this project
  • Details in relation to range of services being supplied (if an existing business) and / or to be supplied as part of this project

Struchtúr Bainistíochta
Tabhair achoimre ar an struchtúr bainistíochta mar atá sé faoi láthair (más gnó reatha é) nó atá beartaithe (i gcás gnó nua). Deán tagairt le do thoil:

  • do phríomhscileanna agus cúlra / taithí an phríomhaí (do thaithí féin i gcás trádálaí aonair nó taithí na stiúrthóirí i gcás cuideachta)
  • do phríomhscileanna agus cúlra / taithí na foirne bainistíochta
  • do phríomhscileanna agus cúlra / taithí aon chomhairleoirí atá ag obair leis an tionscadal

Management Structure
Outline the current management structure (if an existing business) or proposed management structure (if a new business). Please reference

  • the key skills and track record of the individual promoter (if a sole trader) and of the directors if a company
  • the key skills and track record of the management team
  • the key skills and track record of any consultants to the project

Láthair Oibre

Deán cur síos ar an láthair oibre atá ag an ghnó faoi láthair nó ar an láthair oibre atá beartaithe. Glac na nithe thíos san áireamh i do fhreagra:

  • Déan cur síos iomlán ar an láthair ghnó / ar na háiseanna táirgeachta nó eile atá ar fáil don ghnó faoi láthair
  • An bhfuil cead pleanála ceadaithe / de dhíth?
  • An bhfuil sé i gceist spás gnó a ghlacadh ar cíos ó thríú páirtí?
  • An bhfuil sé i gceist láthair ghnó / socrú maoine a lorg ón Údarás? – má tá sonraigh na riachtanais maidir le cineál foirgnimh, achar, láthair, riachtanais faoi leith cumhachta, leathanbhanda srl

Business Facilities / Premises

Describe your current / proposed place of business / business facilities. Please consider the following in your response:

  • Describe premises / production facilities etc available to the business at present
  • Is planning permission required / secured?
  • Do you propose to rent a premises from a third party?
  • Are you seeking business facilities / property solution from Údarás na Gaeltachta? – if so, please specify requirements re type of building / premises, area, location, any particular requirements re electricity supply, broadband etc.

An Margadh
Deán cur síos ar an mhargadh atá aitheanta / aimsithe / leagtha amach don ghnó. Glac na nithe thíos san áireamh i do fhreagra:

  • An bhfuil gné uathúil dhíolacháin ag do tháirge/do sheirbhís?
  • Cad é do spriocmhargadh ar leith?
  • Cén taighde a rinne tú leis an ghá atá le do tháirge/do sheirbhís a aimsiú / dheimhniú?
  • Cad iad na bealaí a úsáideann tú / a úsáidfidh tú chun do tháirge/do sheirbhís a thabhairt chuig do chustaiméirí agus do mhargaí?
  • An bhfuil plean margaíochta ag an ghnó chun an táirge / seirbhís a chur i láthair an mhargaidh?

The Market
Outline the target market which has been identified / targeted for the business. Please consider the following in your response:

  • Does your product / service have a Unique Selling Point (USP)?
  • What is your specific target market?
  • What research have you carried out to establish / validate the need for your product/service?
  • What channels do you use / will you use to bring your product/service to your customers and markets
  • Do you have a marketing plan to bring your product/service to market?

Iomaíocht
Tabhair cuntas anseo ar phríomh-iomaitheoirí an ghnó:

  • Cé hiad do phríomh-iomaitheoirí in Éirinn agus / nó thar lear?
  • Cén fáth a bhfuil do tháirge/do sheirbhís níos fearr ná táirge/ seirbhís do chuid iomaitheoirí, i. praghas, feidhmiúlacht, seirbhís, srl?
  • An bhfuil aon rud a chuirfeadh cosc ar d’iomaitheoirí, sa todhchaí, do thairiscint a chóipeáil nó a mheaitseáil?

Competition
Please outline the business’s main competitors:

  • Who are your main competitors in Ireland and / or abroad?
  • Why is your product/service better than that of your competitors, i.e. price, functionality, service, etc?
  • Is there anything to prevent your competitors, in the future, copying or otherwise matching your offer?

Easpórtálacha

An bhfuil do ghnó i mbun easpórtála faoi láthair nó an bhfuil sé i gceist go mbeidh do ghnó i mbun easpórtála sa chéad trí bliana amach romhainn?

Exports
Does your business currently export its product / service or does it propose to export its product / service within the next three years?

Exports

Líon isteach na 3 thír ar tosaíochtaí iad dar leat ó thaobh margaí easpórtála de gach bliain agus cuir in iúl cén % d’easpórtálacha iomlána a théann chuig na margaí seo.

Please indicate the 3 countries that you consider are your top priority export markets each year and indicate what % of your total exports are to these markets in the table below.

Tír: Cuir ainm na tíre isteach thíos
Country: Insert Country name below

An bhliain is deireanaí % den Easpórtáil
Most recent financial year % of Exports

Bliain Reatha % den Easpórtáil
Current year % of Exports

Iomlán / Total (100%)

Tír: Cuir ainm na tíre isteach thíos
Country: Insert Country name below

Bliain Reatha +1 % den Easpórtáil
Current year +1 % of Exports

Bliain Reatha +2 % den Easpórtáil
Current year+ 2 % of Exports

Iomlán / Total (100%)

Nuálaíocht/Taighde & Forbairt
Deán cur síos ar aon phróiseas nuálaíochta agus / nó taighde & forbairt atá curtha i gcrích, atá ar bun sa ghnó faoi láthair nó a bhfuil sé i gceist tabhairt faoi go luath.

Innovation / Research & Development
Please detail any Innovation Process and / or Research & Development that the business has undertaken, is currently undertaking or proposes to undertake in the near future.

Comhlíontacht

An bhfuil do ghnó (reatha nó beartaithe) ag cloí leis na riachtanais dhlíthiúla go léir maidir le do ghnó? Glac na nithe thíos san áireamh i do fhreagra:

  • reachtaíocht sláinte agus sábháilteachta,
  • reachtaíocht fostaíochta,
  • reachtaíocht chánachais,
  • reachtaíocht chomhshaoil
  • cead pleanála
  • aon reachtaíocht eile atá ábhartha don ghnó

Compliance
Does your (current / proposed) business comply with all the legal requirements regarding your business? Please consider the following in your response:

  • health & safety legislation,
  • employment legislation,
  • taxation legislation,
  • environmental legislation,
  • planning permission
  • or any other legislation relevant to your business

Árachas
Sonraigh cineál/leibhéal an árachais chun gach riosca gnó ábhartha a chlúdach atá i bhfeidhm faoi láthair (i gcás gnó atá ann cheana) nó atá beartaithe (i gcás gnó nua)?

Insurance
Please detail the type / level of insurances to cover all relevant business risks currently in place (if an existing business) or proposed (in the case of a new business)?

Infheistíocht Chaipitil
Sonraigh an leibhéal infheistíochta atá de dhíth le maoin / trealamh nó nithe caipitil eile a mhaoiniú.

Infheistíocht i dtrealamh / innealra
Nóta: Liosta sonraithe le costais cheannacháin/insealbhaithe aonaracha san áireamh

Capital Investment
Detail the level of capital investment required in order to finance premises / equipment or other capital items

Investment in Equipment / Machinery
Note: Detailed list with individual purchase/ installation cost required

Foirgneamh
Building

Costas iomlán € gan CBL
Total Cost € ex VAT

Cur Síos
Description

Iomlán infheistíochta
Total investment

-

Innealra / Trealamh
New Machinery / Equipment

Costas iomlán € gan CBL
Total Cost € ex VAT

Cur Síos
Description

Iomlán infheistíochta
Total investment

-

Innealra / Trealamh Athláimhe*
Second Hand Machinery /Equipment*

Costas iomlán € gan CBL
Total Cost € ex VAT

Cur Síos
Description

Iomlán infheistíochta
Total investment

*D’fhéadfaí deontas a íoc i leith trealamh / innealra athláimhe, i gcás nár íocadh aon deontas as Státchiste na hÉireann / ón Aontas Eorpach nuair a ceannaíodh an trealamh / innealra roimhe

*Second hand machinery / equipment may be eligible for funding, where previous purchase of this equipment has not already been in receipt of EU/Exchequer funding

Sonraigh le do thoil aon innealra / trealamh a bhfuil sé i gceist a fháil ar léas?
Please indicate any items of machinery / equipment which it is intended to lease

Costas iomlán € gan CBL
Total Cost € ex VAT

Cur Síos
Description

Iomlán infheistíochta
Total investment

*D’fhéadfaí deontas a íoc i leith trealamh / innealra athláimhe, i gcás nár íocadh aon deontas as Státchiste na hÉireann / ón Aontas Eorpach nuair a ceannaíodh an trealamh / innealra roimhe

*Second hand machinery / equipment may be eligible for funding, where previous purchase of this equipment has not already been in receipt of EU/Exchequer funding

Achoimre - Infheistíocht Chaipitil
Summary - Capital Investment

Cur Síos
Description

Costas iomlán € gan CBL
Total Cost € ex VAT

Foirgneamh (sonraithe thuas)
Building (detailed above)

Trealamh / Innealra úr (sonraithe thuas)
New Plant / Machinery / Equipment (detailed above)

Trealamh / Innealra athláimhe (sonraithe thuas)
Second-hand Plant / Machinery / Equipment (detailed above)

Infheistíocht Chaipitil Iomlán
Total Capital Investment

Fostaíocht / Employment

An bhfuil duine / daoine fostaithe sa ghnó faoi láthair?  Má tá, sonraigh thíos le do thoil

Are there person(s) employed in the business at present?  Please detail below

Teideal an Phoist / Róil
Job Title / Role

Líon fostaithe
No. of Employees

Líon Lánaimseartha
No. Full-time

Líon Páirtaimseartha
No. Part-time

Fostaíocht nua bhreise / Employment projections

Fostaíocht nua bhreise mheasta sna trí bliana amach romhainn (sa bhreis ar an fhostaíocht reatha sonraithe thuas) Sonraigh thíos le do thoil

Employment projections (additional to any current employees detailed above) for next three years, Please detail below

Bliain 1

Teideal an Phoist / Róil
Job Title / Role

Líon fostaithe
No. of Employees

Líon Lánaimseartha
No. Full-time

Líon Páirtaimseartha
No. Part-time

Bliain 2

Teideal an Phoist / Róil
Job Title / Role

Líon fostaithe
No. of Employees

Líon Lánaimseartha
No. Full-time

Líon Páirtaimseartha
No. Part-time

Blian 3

Teideal an Phoist / Róil
Job Title / Role

Líon fostaithe
No. of Employees

Líon Lánaimseartha
No. Full-time

Líon Páirtaimseartha
No. Part-time

Sonraigh le do thoil an fhostaíocht mheasta charnach a bheidh sa ghnó faoi dheireadh Bliain 3 (1+2+3 thuas ar a n-áirítear aon fhostaíocht reatha + fostaíocht mheasta iomlán)

Please detail below projected cumulative employment projected by the end of Year 3 (1+2+3 above - to include any current employment + total projected employment)

Líon fostaithe
No. of Employees

Líon Lánaimseartha
No. Full-time

Líon Páirtaimseartha
No. Part-time

Riachtanais Scileanna & Oiliúna
Deán cur síos ar na riachtanais oiliúna / scileanna atá / a bheidh ag an ghnó. Glac na nithe thíos san áireamh i do fhreagra:

  • An bhfuil riachtanais shonracha scileanna sa ghnó reatha nó sa ghnó beartaithe ar gá díriú orthu?
  • An ndearnadh aon chlár oiliúna roimhe seo?
  • Cad iad na próisis agus na córais atá agat chun scileanna foirne a fhorbairt?
  • Céard é an costas measta ar an riachtanas oiliúna – tag. Cuid 6 thíos

Skill & Training Requirements
Outline the business training needs / skills requirements. Please consider the following in your response:

  • Are there specific training requirements in the current business / proposed business which need to be addressed?
  • Outline of any previous training programmes undertaken?
  • What processes and systems do you have to develop staff skills?
  • What is the estimated cost of business training needs / skills requirements – please see Section 6 below

Cuid 6 : Maoiniú & Meastacháin Airgeadais

Section 6 : Financing & Financial Projections

Riachtanas Caipitil & Foinsí Caipitil
Sonraigh le do thoil, i dtábla 1 thíos, an infheistíocht atá ag teastáil chun an gnó a fhorbairt agus, i dtábla 2, na foinsí caipitil / cistí atá ar fáil chun an infheistíocht sin a mhaoiniú

Capital Requirement & Source of Capital
Please provide details in table 1 of the investment required to develop the business and, in table 2, the source of capital / funds available to finance / fund same in the table below.

Tábla 1 - Riachtanas Caipitil
Table 1 – Capital Requirement

 

Scairchaipiteal (i gcás cuideachta)
Share Capital (if a ltd co)

Trealamh/Innealra**
Equipment / Machinery**

Oiliúint (Tag. Cuid 5 thuas)
Training (ref Section 5 above)

Eile (sonraigh le do thoil)
Share Capital (if a ltd co)

Caipiteal Oibre (féach nóta thíos)***
Working Capital (see note below)***

Taighde & Forbairt
Research & Development

Iomlán
Total

Nóta – déan cinnte, le do thoil, go bhfuil an figiúr/na figiúirí do Riachtanas Caipitil - Foirgneamh * agus Riachtanas Caipitil - Trealamh / Innealra ** thuas ag teacht le haon sonraí / leis an mhéid iomlán a cuireadh isteach faoi Cuid5(k) Infheistíocht Chaipitil thuas

***Caipiteal Oibre
Is tomhas é caipiteal oibre ar riachtanas gearrthéarmach airgeadais an ghnó. Is caipiteal gnó é a úsáidtear ina oibríochtaí trádála ó lá go lá, arna ríomh mar Shócmhainní Reatha lúide na Dliteanais Reatha. Ríomhfar an méid Caipitil Oibre a bheidh ag teastáil bunaithe ar uasmhéid an easnaimh airgeadais atá léirithe thar 36 mí sa Sreabhadh Airgid Míosúil Réamh-mheasta le bheith comhlánaithe in Aguisín A san fhoirm iarratais seo

Note - please ensure that the amount(s) entered under Capital Requirement - Building* and Capital Requirement – Equipment / Machinery** below correspond with totals recorded at Section 5(k) Capital Investment above

***Working Capital
Working capital is a measure of the short-term liquidity of a business. It is the capital of a business which is used in its day-to-day trading operations, calculated as the Current Assets minus the Current Liabilities. The amount of Working Capital required will be calculated based on the maximum cash deficit / requirement over 36 months per the Projected Monthly Cashflow to be completed in Appendix A in this application form.

Tábla 2 - Foinsí Caipitil
Table 2 - Sources of Capital

Scairchaipiteal (i gcás cuideachta)
Share Capital (if a ltd co)

Iasacht Stiúrthóra (i gcás cuideachta)
Directors’ Loans (if a ltd co)

Cistí an Phríomhaí (trádálaí aonair)
Promoter Own Funds (sole trader)

Léasú
Leasing

Iasachtaí Bainc
Bank Loans

Deontais
Grant Assistance

Eile (Sonraigh le do thoil)
Other (Please Specify)

Iomlán
Total

Meastacháin Airgeadais

Tá gá le meastacháin airgeadais a sholáthar do chéad trí bliana an ghnó (gnó úr) nó don chéad trí bliana amach romhainn (gnó reatha) mar chuid den iarratas. Líon isteach na teimpléid thíos le do thoil (scarbhileog Excel) i dtaca leis na meastacháin. Beidh ceangal díreach idir na meastacháin sin agus na figiúirí a bheidh le cur isteach i dtábla 1 (Riachtanas Caipitil) & i dtábla 2 (Foinsí Caipitil) thuas.

Teimpléid le líonadh - Féach Aguisín A:

• Cuntas ar Bhrabús & Caillteanas don chéad 3 bliana (eile) trádála
• Sreabhadh airgeadais measta de réir míosa don chéad 36 mí (eile)
• Clár Comhardaithe measta ag deireadh Bhliain 1, Bhliain 2 agus Bhliain 3 romhainn

Financial Projections
It is necessary to provide financial projections for the first 3 years of the business (new business) or for the next 3 years (existing business) as part of the application. Please complete in the templates below (in Excel). The amounts entered in the templates should correlate with the figures to be entered in Table 1 (Capital Requirement) & Table 2 (Sources of Capital) above.
Templates to be completed – see Appendix A

• Projected Profit & Loss account for first / next 3 years of trading
• Projected Monthly Cashflow for first / next 36 months
• Projected Balance Sheet at the end of Year 1, Year 2 and Year 3

 

 

Cuid 7: Aon eolas ábhartha eile

Section 7: Any other relevant information

Is féidir aon eolas / ábhar eile a meastar atá ábhartha i leith d’iarratais ar thacaíocht a leagan amach anseo.

Please insert any other details / information which you consider relevant to you application

Cuid 8 : Dearbhú

Section 8 : Declaration

An tAcht um Shaoráil Faisnéise
Ní scaoilfidh Údarás na Gaeltachta aon eolas a fhaightear mar pháirt den iarratas seo mura bhfuil sé riachtanach de réir dlí, an tAcht um Shaoráil Faisnéise 2014 san áireamh. Leagtar amach in Alt 38 den Acht um Shaoráil Faisnéise an nós imeachta atá le leanúint i gcásanna áirithe ina bhféadfadh cinneadh faisnéis a scaoileadh i dtaifead dochar a dhéanamh do leasanna tríú páirtí. Faoi Alt 38 tá sé de dhualgas ar Údarás na Gaeltachta a chur in iúl do na tríú páirtithe go bhfuil sé beartaithe an t-iarratas a cheadú/páirt-cheadú ar mhaithe le leas an phobail agus go ndéanfaidh an tÚdarás aon aighneachtaí ó na tríú páirtithe a thógáil san áireamh sula ndéanfar cinneadh an t-iarratas a cheadú/páirt-cheadú nó a dhiúltú.

Freedom of Information
Údarás na Gaeltachta will not release any information received as part of this application unless it is required by law, including the Freedom of Information Act 2014. Section 38 of the FOI Act sets out the procedure to be followed in certain cases where a decision to release information in a record has the potential to affect the interests of a third party. Section 38 requires Údarás na Gaeltachta to notify the affected third parties that it is proposed to grant the request in the public interest and that the FOI body will consider any submissions from the third parties before deciding whether to grant or refuse a request.

Dearbhú um Chosaint Sonraí
Tá Údarás na Gaeltachta tiomanta do mheas a léiriú ar do phríobháideacht agus í a chosaint. Caithfimid leis an uile shonra pearsanta mar shonra faoi rún agus ní úsáidfimid é ach amháin do na cuspóirí a bhfuaireamar é mura bhfuil sé riachtanach de réir dlí. Leagtar amach inár Ráiteas Príobháideachta Sonraí do chearta príobháideachta agus insítear duit mar a bhailíonn, a úsáideann, a phróiseálann agus a nochtann muid, mar Rialaitheoir, do chuid sonraí pearsanta i leith do chuid teagmhála linn.

Data Protection
Údarás na Gaeltachta is committed to protecting and respecting your privacy. We will deal with all personal data as confidential, and it will only be used for the purposes for which we have received it. Our Data Privacy Statement  tells you about your privacy rights and sets out how we, as a Controller, collect, use, process and disclose your personal data relating to your interactions with us.

Cúnamh De Minimis
De Minimis Aid

An bhfuair an gnó aon Tacaíocht Stáit nó AE faoi De Minimis go dáta? (NÁ CUIR TIC ACH LE CEANN AMHÁIN)

Has the business received any State Supports or E.U. supports under “De Minimis”? (PLEASE ONLY TICK ONE) 

Checkboxes

MÁ FUAIR, COMHLÁNAIGH NA SONRAÍ THÍOS
Is éard is Cúnamh De Minimis ann ná suimeanna beaga Cúnaimh Stáit a thugtar do ghnóthas agus/nó gnó, nach mó ná €300,000 thar aon trí bliana fhioscacha, is cuma an méid nó an láthair. Féadfaidh Cúnamh De Minimis teacht ó aon chomhlacht, aon ghníomhaireacht nó aon roinn Stáit. Má tá gnó mar chuid de ghrúpa, baineann an teorainn €300,000 leis an ghrúpa. Tabhair do d'aire, má thugtar dearbhú bréagach i leith figiúr a bheith faoin tairseach €300,000, féadfaidh sé a bheith de thoradh air níos faide anonn go mbeadh ort an cúnamh deontais a íoc ar ais móide ús.

IF YES, THEN PLEASE COMPLETE THE DETAILS BELOW
De Minimis Aid is small amounts of State Aid given to an undertaking and/or business which cannot exceed €300,000 over any three fiscal years regardless of size or location. De Minimis Aid can come from any State body, agency or department. If a business is part of a group, then the €300,000 limit applies to the group. Please note that a false declaration to show a figure under the threshold of €300,000 could later mean that you would have to pay back any assistance received, with interest.

 

An cineál cúnaimh a ceadaíodh
[mar shampla, deontais oiliúna / nuálaíochta / féidearthachtaí / chaipitil / fostaíochta nó eile]

Type approved
[for example, training / innovation / feasibility / capital / employment or other grants]

Gníomhaireacht nó Eagraíocht óna bhfuarthas an cúnamh

Agency or Body from which the aid was received

Méid a Ceadaíodh
Amount Approved

Dáta a Ceadaíodh
Date Approved

Iomlán
Total

Dearbhú ón Iarratasóir

Declaration by Applicant

Iarrtar ar an Phríomhaí nó ar Oifigeach Údaraithe de chuid na Cuideachta an Dearbhú seo a chomhlánú

Dearbhaím mar a leanas:

  • Nach bhfuil cabhair iarrtha ag an ghnó ó aon Ghníomhaireacht Stáit eile i leith an tionscadail sonraithe thuas.
  • Nach n-iarrfaidh an Gnó/Tionscnóir cabhair ó aon Ghníomhaireacht Stáit eile i leith an chaiteachais seo gan é a phlé le hÚdarás na Gaeltachta.

Deimhním go bhfuil an t-eolas atá curtha ar fáil sa doiciméad agus in aon doiciméad atá leis seo fíor agus iomlán, chomh fada agus is féidir liom a bheith cinnte faoi. Má tharlaíonn sé go mbíonn aon athrú ar an eolas seo, nó ar na boinn tuisceana, deimhním go gcuirfear é sin in iúl láithreach d’Údarás na Gaeltachta.

The Promoter or an Authorised Officer of the Business should complete this Declaration.

I confirm the following:

  • That the business has NOT sought aid from any other State Agency in respect of the project detailed above
  • That the Business/Promoter will not seek aid from any other State Agency in respect of this expenditure without discussing same with Údarás na Gaeltachta

I confirm that the information contained in this application, and in any attachments thereto, is true and complete to the best of my knowledge. I further confirm that any significant change to the information supplied, or to the underlying assumptions, will be relayed immediately to Údarás na Gaeltachta.

Síniú an Iarratasóra
Applicant Signature

Sínithe thar ceann
Cur isteach ainm na Cuideachta nó struchtúr eile más ábhartha

Signed on behalf of
Insert company name (or other business structure name) if applicable