Temasek Foundation Ecosperity
Funding Application Form
Name of Company
Unique Entity Number (UEN)
Country of Business
Registered Place of Business
- APPLICANT (Person submitting the application)
Salutation (Mr /Ms/Mrs/ Dr) Name
- LEAD PRINCIPAL INVESTIGATOR
Salutation (Mr / Ms/ Mrs/ Dr)Name
Profile (Bio / Resume)
(Attach separately if needed)
- CHIEF EXECUTIVE OR EQUIVALENT
Salutation (Mr/ Ms/ Mrs/ Dr) Name
- GENERAL INFORMATION
Programme/ Project Name
Programme/ Project Objective(s)
(In brief, and attach separately if needed)
Programme/ Project Duration
Has the programme/ project already commenced? If yes, please state start date:
Programme/ Project Stage (e.g. Technology Readiness Level 6 and beyond, Proof-of-Value stage, or close to commercialisation?)
- PROGRAMME/ PROJECTDETAILS
Current Issue in Singapore to be Addressed:
Current CompetingTechnologies/ Competitors:
Competitive Advantage of Proposed Solution:
Impact of ProposedSolution:(e.g. How will it enhance liveability in Singapore?)
Viable Commercial Application of ProposedSolution:
Potential Commercial Partners:
Have the above-mentioned commercial partners been engaged? If yes, please elaborate:
- OTHER FUNDING SUPPORT
Has the programme/ project applied for funding from other grant institution(s)?
If yes, please state the grant institution(s) and date(s) of application:
- ANY OTHER REMARKS (Any other information useful in supporting this application)
- ONE PAGE OVERVIEW AND SUMMARY (Attach supporting write-up if needed)
i. Elaborate on background, objective(s), principal investigator(s), programme/ project title, scope of work, timeline of deliverables, key performance indicators, and other relevantprogramme/ project information.
ii. Include any information on ethics and other regulatory approval requirements related to the programme/ project.
iii. Disclose and clearly indicate all relevant, privileged or confidential information, such as those pertaining to Intellectual Property or other licences.
Is theprogramme/ project subject to any ethics or regulatory approval requirements?
Has the programme/ project used or will it be using any Intellectual Property or licences from third parties?
If yes to the above two questions, please elaborate:
S/No. / Item of Expenditure / Budget
(SGD) / Remarks
1. / e.g. Manpower
Total Cost: / $
*Please add more rows if required.
*Please be as detailed and specific as possible.
*TF Ecosperity reserves the right to ask for details / breakdown of each expenditure item.
- PAYMENT MILESTONES
S/N / Timeline
(Start and End Date | No. of Months) / Milestone / Amount Payable (SGD)
Total Cost: / $
* Please add more rows if required.
I declare that the information provided by me on the above form is true and correct to the best of my knowledge and belief, and complete. I understand that any false and wilfullysuppressed information will render my application null and void.
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