APPLICATION for Trade Credit Insurance Scheme (Tcis) Subsidy

APPLICATION FOR Trade Credit insurance scheme (tcis) subsidy

A programme by International Enterprise Singapore /
Please submit the completed TCIS Application Form to your broker or insurer. Where information is not applicable, please indicate with N.A. Kindly append a copy of the quote sheetfor the trade credit insurance policy together with the TCIS Application Form. Please note that the application is subject to the approval of the International Enterprise Singapore Board upon the binding of the insurance policy.

1. Contact Details of Insured

Registered Name of Company: / Company/Business Registration No:
Registered Address: / Postal Code:
Whom to Contact:-
Name: / Designation: / Tel: / Fax: / E-mail:

1. Business Activities of Insured

1. Paid-up Capital:

/

1. No. of Singaporean/PR management staff in Singapore:

/

1. No. of employees in Singapore:

1. Description of business activities and the kind of goods to be Insured:

1. Industry Sector:

/ Please tick the applicable boxes:
Business Services
Electronics & Precision Engineering
Information Communication Technology
Infrastructure Services
International Trading
Transport & Logistics
Lifestyle Services
Environmental Services
Others(Please specify):

1. Shareholding details of companies owned by Insured:

Name of Insured’s Subsidiaries1 / Country Registered / % Shareholding by Insured

1. Insured’s Historical Financials:

FY End: ______(Month) / FY 20______/ FY 20______/ Latest FY 20______
Consolidated Sales of Insured and its subsidiaries (S$’000)
Total Business Spending2 of Insured (S$’000)

1Subsidiaries: Defined as companies in which at least 50% of the shareholding is held by the Insured.

2Total Business Spending: Defined as total production/operating cost incurred by the Applicant Company which excludes cost of goods sold or cost of sales, exchange rate losses, allowance for doubtful debts, income tax expenses and property tax expenses.

3. Strategic Business Functions in Singapore
Please indicate the strategic business functions conducted by Insured in Singapore by ticking the applicable boxes:
banking, financial and treasury functions
investment planning and coordination
logistics and shipping management
market/business development & sales management
research & development (R&D) or design functions
manufacturing functions
Others(Please specify):
4. Questionnaire

1. Are you a new user oftrade credit insurance?

/ YES / NO

1. Do you require accounts receivables financing?

/ YES / NO
5. Declaration by Insured

1. I declare that, as at the date of this application,

/ YES / NO
(a)The Insured is registered with the Accounting and Corporate Regulatory Authority of Singapore as a company, business or firm;
(b)The Insured conducts at least 3 strategic business functions (as indicated in Item 3) in Singapore headquarters for and on behalf of its overseas operations (if any);
(c)The Insured does not have a turnover on a Group consolidated basis exceeding S$100,000,000 over the last 3 years;
(d)The Insured has a minimum paid-up capital of S$50,000;
(e)The Insured has a management team that consists of at least 3 managerial staff who are Singapore citizens or Permanent Residents;
(f)The Insured has incurred at least S$250,000 of Total Business Spending for each of the last 3 years;
(g)The Insured has not been investigated for, or charged by official public authorities with any of the following in the last 5 years:

• Breaches of the laws and regulations (both in home country and foreign jurisdictions)
• Private litigation suits (e.g. employee suits, third party liability suits, etc)
• Internal or external fraud;

If “No” to the above, please elaborate below:
(h)I have verified the information furnished and confirm that it is true and correct and undertake to inform IE Singapore immediately of any changes in the information given in this application. I understand that I may be prosecuted under the Penal Code and IE Singapore may at its discretion withdraw the grant and recover immediately any amount of the incentive / concession that may be disbursed, if I should give false or misleading statements or use any document that is false or misleading in obtaining payment of incentive / concession from IE Singapore.
Name of Authorized Signatory: / Company Stamp:
Designation:
Signature of Authorized Signatory:
Date:
TCIS Application Form / Pg 1 of 2
Version: February 2013