Commercial in Confidence Appendix 3a

Rail Supply Growth Fund
Expression of Interest(EOI) Form
This EOI will help us understand more about the applicant Company, the project and funding requirement. If an application for funding is made up of a number of applicant Companies and organisations thereby forming a consortium application, then a lead applicant Company will need to complete this EOI on behalf of all the members of the consortium.
Before completingthis EOI form, pleaserefer tothedocument “Guidancefor Applicants” forthis Fund
which along with further help and support, such as FAQs,can be found on the website
Project title
Company Details
Applicant Company name
Contact details
Address
Postcode
Email address
Phone number(s)
Range of products / services and key customers
Summary of Proposed Project
Estimated start date
Project duration in months
Address of where the project will be based if different from the address given above
Total value of the project / £
Funding applied for to be used for
  • Further working capital
  • new capital expenditure
  • new product launch
To help fund applicant Companies with innovative crossover products and or services and to enhance businessesparticipation within the rail supply sectora grant may be available of up to 10% of the application value / Loan £
Grant £
Number of jobs to be createdin the project
Number of existing jobs that would be safeguarded in the project(i.e. those not made redundant by the applicant Company within 12 monthsfrom the date of receiving funding)
Key Financial Data
Please complete for the last 3 years (from the Company’s annual accounts)
Year/ Month
£000s / £000s / £000s
Turnover / £ / £ / £
Net profit before tax / £ / £ / £
Balance sheet net worth / £ / £ / £
Outline of the Proposed Project
Please explain the nature of the proposed project, what it is seeking to achieve, what benefits outcomes and outputs is the project expecting to deliver either as an existing supplier to the rail supply sector or as a new supplier with innovative crossover products and or servicesand the nature of how the project is to be funded.
  • Outline the nature of the proposed project and what the funding being requested will be used for. A consortiumapplication should list the names of all the Companies in the consortium and their contribution to the project. (Max 250 words)

  • Describe how the proposed project will deliver a range of benefit such as increased capability, productivity and global competitiveness,accelerated routes to markets and how this will lead toincreased levels of employment and investment within the project. (Max 500 words)

  • Explain how the project will be funded (i.e. how much funding is being requesting from this Fund), the justification for any grant funding being sought and how the balance of funding will be provided. (Max 250 words)

  • Detail the timescales for the project. (Max 150 words)

Declaration: I have completed the EOI form and can declare that the information in this EOI form is correct to the best of my knowledge.
Signature...... Name......
Company name...... Position......
Date......
The completed EOI form and any accompanying documentation should be emailed to Colin Harris at

Rail Supply Growth Fund

Expression of Interest Form

May 2017