Project Concept Note for Large GrantEUR20,000 - 200,000

This Concept Note is the first step in the application process for a large grant from the Innovations Against Poverty programme. If your Concept Note is shortlisted, you will be asked to submit a “Full application for Large Grant up to EUR 200,000”.

The completed Concept Note should demonstrate how the project meets the IAPeligibility criteria(seeGuide for Applicantson for details of the eligibility criteria). Additional useful information for applicants can be found in the ‘A Guide to IAP Assessment Criteria’on the IAP website, under IAP FAQ and Resources.

Please make sure to adhere to the following:

  • answer all questions by filling out every field in the application form
  • do not edit thisapplication form by removing fields or text
  • avoid acronyms where possible, and where unavoidable make sure they are fully spelt out when used the first time.
  • thatthe Concept Note does not exceed 9 pages (This information page is not included in the total sum of pages and may be erased before submitting)
  • enclose a certificate of incorporation
  • once your application is completed, save and renameitto “[your company name]_Sida IAP Concept Note”
  • submit the application in Word format as well as a signed copy in PDF
  • email the application before submission deadline to: Please note thatapplications sent by mail or fax and applications submitted after deadline will not be considered for funding.

Please mark anyenclosedattachmentwith company name and project name and list them in section 4 of this form. Please note that additional information cannot replace the information requested in this application form.

If your application is successful and a grant agreement signed with Sida, you will be asked to provide additional information for tracking and reporting results. Further information about this process and your obligations are available in the document “Tracking and reporting results: Linking with other practitioners” posted on .

We encourage you to join the Practitioner Hub, an online resource for those implementing inclusive business, to access information and exchange with other practitioners:

Please note: In order to comply with Swedish legislation on public information, all information that is submitted to the IAP may eventually be available to the public. For further information please visit and see details in the FAQ document.

  1. Basic company details

Company name
Country (company HQ)
Year of incorporation
Parent company (if applicable)
Sector(s) of operations / ( )Agriculture, forestry and fishing
( )Mining and quarrying
( )Manufacturing
( )Electricity, gas, steam and air conditioning supply
( )Water supply; sewerage, waste management and remediation activities
( )Construction and housing
( )Wholesale and retail trade; repair of motor vehicles and motorcycles,
( )Transportation and storage
( )Food service activities
( )Information and communication / ( )Financial and insurance activities
( )Real estate activities
( )Professional, scientific and technical activities
( )Administrative and support service activities
( )Public administration
( )Education
( )Health
( )Arts, entertainment and recreation
( )Other service activities
Number of employees
Organisation Type / ( )Small company (< 50 employees)
( ) Medium company (51 – 250 employees)
( ) Large company (> 250 employees)
( ) Non Governmental Organisation (NGO)
( ) Other, please specify:
Which of the following best applies to your organisation? (please choose one alternative) / ( )We are a commercial profit-making business, keen to also deliver social benefits where it fits with the business
( )We consider ourselves a ‘social enterprise’, aiming to deliver social gain while making a profit to reinvest in business growth
( )Our primary mission is social benefit; we aim to achieve it in ways that involve cost-recovery and self-financing rather than grant-dependence
( )None of the above: please explain:
Which of the following statements best applies to your organisation?
(A ‘start-up’ means less than one year of normal market operation) / ( )We are an established organisation
( )We are a start-up business
( )We are an established organisation, however the inclusive business project supported by IAP is (or will be) a separate start-up.
Define your last completed financial year: / (month/ year) to (month/year
Annual turnover(EUR)
Two latest available years (specify years) / Latest available financial year: €
Year: / Financial year prior to that: €
Year:
Net profit before tax (EUR) / Latest available financial year: €
Year: / Financial year prior to that: €
Year:
Total Assets (EUR) / Latest available financial year: €
Year: / Financial year prior to that: €
Year:
Company contact (Name and title of project manager, phone, e-mail)
CEO (Name)
Please provide up to two professional references (Name, contact details and a short description of your engagement):
Important: Upon providing references,the applicant giveshis/her consent for the IAP team to contact these references. / Name:
Organisation:
Email:
Phone:
Engagement: / Name:
Organisation:
Email:
Phone:
Engagement:

Previous or anticipated public support to company from other sources

According to EU regulations, a company in the EU may only receive up to EUR 200,000 in public funding from European authorities during a three year period. Sida applies the same rule also for companies not based in the EU. Please list any EU public financial support that your company has received in the last three years, and also include any applications you have made or have in mind for public funding over the next three years.

Source of financing (organisation) / Type of financing (e.g. grant, technical assistance, loan, guarantee) / Amount (EUR) / Date of receiving support (estimated date if not yet disbursed)

Please, also list other public funding from non Europeandonors and governmental agencies that your company has received in the last three years.

Source of financing (organisation) / Type of financing (e.g. grant, technical assistance, loan, guarantee) / Amount (EUR) / Date of receiving support (estimated date if not yet disbursed)
  1. Your Inclusive Business project

Information given in this section refers to your overall inclusive business project. Information about the specifics of the requested IAP support should be detailed in Section 3 below. (In some cases the project development component for which you seek a grantmay be the entire ‘project’, but in other cases the inclusive business ‘project’ may be significantly broader than the component which is developed with co-funding from IAP.)

Name of the proposed inclusive business project
Country/ countries where the project will operate
Sector for the project
Please pick only one / ( )Agriculture, forestry and fishing
( )Mining and quarrying
( )Manufacturing
( )Electricity, gas, steam and air conditioning supply
( )Water supply; sewerage, waste management and remediation activities
( )Construction and housing
( )Wholesale and retail trade; repair of motor vehicles and motorcycles,
( )Transportation and storage
( )Food service activities
( )Information and communication / ( )Financial and insurance activities
( )Real estate activities
( )Professional, scientific and technical activities
( )Administrative and support service activities
( )Public administration
( )Education
( )Health
( )Arts, entertainment and recreation
( )Other service activities
Current stage of the project (multiple answers allowed) / ( )Catalysing ideas
( ) Concept development
( ) Scoping
( ) Design
( ) Pilot
( )Implementation
( ) Scaling up
( ) Not sure, poor fit, or a mix of the above, please add comment to explain further:
How would you describe the relationship between your inclusive business project and your organisation? Please tick the box that best applies. / ( )The inclusive business project is the core/main business operation of our company/organisation
( )The inclusive business project is part of our company/organisation, but not the main business operation
( )The inclusive business project is supported by our organisation, but is external to it.
Existing external project partners and relationships. Please provide a brief description of these relationships. (Only list established partnerships, not potential partnerships. Please note that IAP later on in the application process may ask for contact details to partners.)
Other previous applications to IAP? / Yes( ) If Yes, please specify company name:
No ( )
Summary of Inclusive Business Project
Please give a short description of your inclusive business project in no more than two paragraphs.(Kindly note that this refers to the inclusive business project for which you seek IAP funding, not your company’s/organisation’s overall operations or projects)
Please describe in no more than two paragraphs if you have other activities within the inclusive business field.
What is the business opportunity?
How do you expect to generate income?
Who are the customers?
What is the product or service?
How will the business benefit low income people?
How is the project innovative in the local context?
What potential risks can affect your business? (Both commercial and other risks, such as security and political risks, risk of corruption, tensions between local groups.)
What is the probability that your proposed project will have a negative impact on existing or potential conflicts in the country/region? (Please use the range low/medium/high probability and provide a short explanation.)
The experience and expertise your organisation brings and progress to date
(In this section, please briefly describe why your organisation is well placed to deliver the proposed inclusive business project)
How do your present business operations provide a platform for the proposed project?
What is the progress that you have made to date?
What are the resources and relationships that you bring to the project?
Do you have, or are you in the process of developing a business plan? If you have a business plan, we highly recommend that you enclose a copy of thisbusiness plan):
Why you need IAP support
What difference will the IAP grantmake to your project?
Why can the project not be funded commercially?
  1. IAP Support

In this section please describe the areas of your inclusive business project for which you are requesting IAP grant support and how such support will progress your inclusive business project.

How would you use the grant?
What outcomes do you expect as a result of the IAP support?

IAP Support –Budget Overview

In this section please set out the size of grant that you are applying for (IAP contribution) and the matchinginvestment that your organisation will make (company contribution). Please group the budget lines into staff costs for existing or planned staff, external advisory inputs, and then any other expenses.

Type of costs / Description / Type andSource of company contribution (time input/ loan/private investment etc) / Company contribution (EUR) – at least 50% of total cost / IAP contribution (EUR) / Total (EUR)
Core business costs (e.g. existing staff time, planned new staff time, or other costs that are already committed to or planned)
External advisory costs (e.g. consultancy support, advisory inputs etc)
Other costs (training, travel, workshops etc.) We would expect Capital Expenditure to be largely funded by the company.
TOTAL (EUR)
  1. Additional information

Where/From whom did you learn about the IAP programme? / ( )IAP website
( )Practitioner Hub
( )Impact investor, please specify:
( )Foundation, NGO, please specify:
( )Multilateral financial institution or agency, please specify:
( )Bilateral donor, please specify:
( )IAP grantee, please specify:
( )Fellow entrepreneur
( )Other, please specify:
Enclosures to this application:
Number / Name of document
Upon request, we can provide further details to our application through providing copies of the following documentation:
  1. Permission to be contacted by researchers

Researchers interested in contacting companies engaged in inclusive business sometimes approach IAP. Are you interested in participating in such research?

Yes, I am interested in being contacted by researchers and give my permission to IAP to forward my contact details to researchers.

No, I am not interested in being contacted by researchers and do not want IAP to forward my contact details.

(Please note, however, that in accordance with Swedish regulations on public information, all information submitted to Sida/IAP is eventually available from Sida.)

  1. Confirmation and signature

‘In submitting this concept note we agree, should we be shortlisted and prepare a successful full application, to the IAP standard contractual terms and conditions that can be reviewed on the IAP page on the Sida web site at including reasonable reporting requirements on the progress of the project’

Company name:
Signed by:
Date:
Signature:

Please note that the Concept Note should be submitted in Word format as well as a signed copy in PDF format.

Submit this Concept Note by email to . You will receive a confirmation with a reference number after the submission deadline.

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2012-09-03