Application Form

Info Security Europe 2017

6-8June 2017

Olympia, London

Please return completed form to Sinead Lamont () by Tuesday 28th February 2017

SECTION A: COMPANY DETAILS
1. Company Name / 3. Contact
2. Full Address / 4. Telephone
5. Fax
6. Mobile
7. Email
8. Website
9. Invest NI Client / Yes / No / 10. Client Executive
11. Number of Employees / 12. Annual Turnover
SECTION B: COMPANY PROFILE / BACKGROUND INFORMATION
Please provide a brief company profile to be used in the Info Security catalogue, include details on the products/services you offer. (370 character limit)
SECTION C: PREVIOUS AND CURRENT EXPORT ACTIVITY
  1. Do you currently export ANY product/service outside GB? If yes please answer following questions (Republic of Ireland is considered an exportmarket)
/ Yes / No
(a) To which markets?
(b) Value of Sales to GB / £______
(c) Value of Exports outside GB / £______
SECTION D : PARTICIPATION
Please confirm how you wish to participate at Info Security2017
  1. I wish to exhibit on the Northern Ireland group stand with a Corner workstationand display area at Info Security 2017. Please note there is a charge of £4,000+VAT (£4,800.00) for this option, 50% deposit is payable on receipt of application (£2,000+VAT = £2,400.00)

  1. I wish to exhibit on the Northern Ireland group stand with a pod workstation and display area at Info Security 2017. Please note there is a charge of £1,900+VAT (£2,280) for this option, 50% deposit is payable on receipt of application (£950+VAT = £1,140)

Please note there is only 4 corner stand locations and 2 pod workstations, priority and location of stands will be given in the order of receipt of approved applications and payment of deposit.
SECTION E : OBJECTIVES
Please state below your objectives for participating in this event
1.
2.
3.
4.
5.
SECTION F : ADDITIONAL SUPPORT
Export Development Service – Please confirm if you require the services of our EDS consultant to assist with market research and a visit programme? / Yes / No
We recommend this service for those companies who are not already doing business in the market, who are new to the market or who have not participated in a previous Invest NI Mission or event in the market.Please note this is a chargeable service.

De minimis Aid Declaration

If you have been offered Government funded business support such as grants or subsidised consultancy from other Government Departments, Intertrade Ireland, Local Councils or any other source over the last 3 Fiscal (accounting) years this might impact on your eligibility to receive assistance as the Export Development Service programme operates as ‘de minimis’ aid, under EC Regulation (EC) No 1407/2013 (de minimis aid).
The maximum amount of de minimis aid that a company[1] can normally be offered within its current and 2 previous accounting years is €200,000 although sectoral restrictions apply toFishery and Aquaculture (maximum €30,000); primary production of agricultural products (maximum €15,000); and road freight transport (maximum €100,000). Where an undertaking is part of a group of companies the de minimis limit applies to the combined Group within GB and NI and not individual companies within the Group. To allow us to determine whether awarding this grant will breach this limit, please complete the table below that details the date and value of any de minimis aid the company has received during its current and 2 previous accounting years. Where your company is part of a group of companies please complete the table for all group companies.
Please note that it is your responsibility to check whether the support you have received was classed as ‘de minimis’ aid. If in doubt, please check with whoever provided you with the support.
Has the company or any company within the Group (if applicable)received any form of public support or grant that was classed as de minimis in the current or previous 2 fiscal (accounting) years?If ‘Yes’, please provide detail in the table below:- / Yes / No
Date support offered / Funding body / Purpose / Scheme / Amount / Invest NI Use
historical
£/€ rate / Invest NI Use
€ equivalent
Total
What is the date of the end of your accounting (fiscal) year (dd/mm)?
Is the company active in any of the following industry sectors:
Fishery and Aquaculture; Primary Production of Agricultural Products; or Road Freight transport? These sectors have specific lower ceilings of de minimis aid. / Yes / No (if yes please specify)
Invest NI De minimis Schemes
To assist you in determining the de minimis support you have received in your current and 2 previous accounting years, a list of Invest NI’s de minimis programmes is attached at Annex A along with the value of that support where appropriate. Please note that this is not a comprehensive list of de minimis support available in Northern Ireland.
I confirm that: The details provided on this form are current and accurate to the best of my knowledge and I am authorised to sign on behalf of the company.
Signed on behalf of applicant / Print Name
Position / Date
Company

Please return completed form to Sinead Lamont () by Tuesday 28thFebruary 2017

Annex A Invest NI de minimis Schemes

Programme / Scheme / Value of de minimis Aid
Grant for R&D (on a case by case basis) / Letter of Offer Value
(up to max £50k for New to R&D; occasionally up to max £120k in exceptional other cases)
Business Improvement Agent / Letter of Offer Value
Business Solutions Consultancy / Letter of Offer Value up to a maximum of £15,800
Carbon Trust Interest Subsidy on loans / Determined by size of loan
CDS Consultancy (Large orgs = de minimis) / Letter of Offer Value max £7,500*
( Large Companies only, SME offers are notified aid)
CDS Interim Manager (Large orgs = de minimis) / Letter of Offer Value max £15,000* (Large Co only)
CDS Non Executive Director Programme (Large orgs = de minimis) / Letter of Offer Value up to a maximum of £15,000
( Large Companies only, SME offers are notified aid)
CE Marking Programme (ceased 2012) / £1,995
Collaborative Networks Programme / Value stated in the Collaborative Networks confirmation letter (for offers issued before 1 May 2012 only)
Design Programme / Main Design Project: £10k*,Mini Design Project: £5k*
Green Technology Initiative / Letter of Offer value
Growth Accelerator Programme / Letter of Offer value
Innovation Vouchers (up to 30/9/2015) / £4,000* (for vouchers issued before 30 Sept 2015 only)
MIS – Management Information Systems / Up to £25,000
Propel Programme / Letter of Offer value
Resource Efficiency Audit Framework / Agreed Consultancy Costs up to £1,000*
Sustainable Development Implementation Framework / Agreed Consultancy Costs up to £5,000*
Technology Technical Development Incentive (TDI) (up to 26/5/2015) / Letter of offer value (for offers issued before 26 May 2015 only)
Trade Solutions: / Trade Solution support varies and may be up to £20,000.Contact the Invest NI Trade Team directly to determine the value of any trade solution support which you may need to declare.

N. B. * indicates the maximum level of support available against the given support mechanism

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