This template is designed to assist applicants in preparing the text and figures they need ahead of completing the online application form. Concept notes will only be accepted via the application platform. Applicants are required to provide all the information requested below, failure to which the application will be deemed nonresponsive.
Core Information – Minimum Qualification Criteria
Zambian companies limited by guarantee or shares meeting one of the following shareholding structures:
a) Minimum 50% Zambian citizen-owned business.
b) Businesses at least 50% owned by residents whose origins are in the European Union or SADC whose tenure of residence in Zambia is at least twenty (20) years.
c) Businesses with European Union or SADC majority shareholding with a minimum Zambian shareholding of 20%
d) A Joint Venture between a Zambian registered company and EU company

Please check the boxes that are applicable

Is the business compliant with all national and local laws and regulations; including meeting all obligations relating to the payment of taxes and social security contribution and relevant health and safety and environmental standards?

Can the business co-fund at least 50% of the project cost for the activities proposed in the Concept Note through its own funds or credit access?

Has the business turnover from commercial activity been at least EUR 350,000 in one of the last 3 years?

Does the business have 3 years financial records with audited financial statements for at least 2 of the last 3 years?

Contact Details

Business Name

Name of Applicant

Position in Organization / Company

Years of Business Operation

Website

Year of Establishment

Phone Number

Province of Operation

Business Address

Business Information

Provide a brief description of your business profile (in 300 words) detailing, core activities, products and services, innovations, market demand, growth pattern.

How are you currently working with small value actors? (i.e. micro and small enterprises such as aggregators, waste pickers, artisans, artisanal and small miners, both formal and informal) of your value chain?

Business Ownership (In a maximum of 300 words, describe the ownership structure of the business and subsidiaries (if applicable)

Management (in a maximum of 300 words, describe the management and governance processes of the business, qualifications and gender of key governance and management staff structures).

In a maximum of 400 words, provide a commentary on your financial history that highlight sources of your business finance over the past 3 years.
• Describe the turnover trend line for the last three years;
• Provide the names of organizations you received financial support from, and the time and amount received;
• If you have external loan/s name the source, amount outstanding and repayment period;
• Describe your largest CAPEX expenditure of the past 3 years;
• Describe changes in equity, if any;
• Have you ever applied for grant funding before? If so, please provide details regarding sponsor, amount and the expected/realized results of the project.

Who is your current auditor?

ZICA Certificate Number

No of years with the Auditor

Project Description

The Opportunity In a maximum of 400 words describe your project.
• What is the specific industrywide problem that your project is trying to address?
• What are the product/services to be delivered?
• What is the rationale for the project?
• How is it aligned to your core business?
• What significant achievements your organisation has made in the past 3 years?

Proposed solutions and key Project Activities

Market Segmentation

Contribution

Degree of circularity or green dimension is key for the GREENTech4CE Project, whether for new innovation or products/services or process in order to address the objectives and challenges to implement or transitioning to green, circular economy. Will your proposed project address these challenges? If yes, please explain why and how by summarising associated activities?

Projected/ expected annual project turnover and projected earnings before interest tax depreciation and amortization with financial support in Euros

Projected assets value in Euros

Cost of project in Euros (Please enter the total cost of the project and then show how this will be met by a combination of GREENTech4CE Fund and Co-Financing from your own and third party contributions)

Project Risk (Detail critical risks that may affect the project and brief mitigation strategies)

Social Impact

Describe the specific proposed activities, services, benefits (direct /indirect) to targeted small value chain actors. Explain specific actions that will promote the participation of youth and women entrepreneurs in the project?

how many decent jobs your business has created for women and youth, and what is the projected number of decent jobs (direct or indirect ) expected to be created by the proposed project? (Describe specific actions that will provide opportunities for job creation within the company as a result of the project. Also, disaggregate employment opportunities for Women, Men and Youth-18-35years)

Supporting a Green Economy

How will your business promote innovation and scale of green, circular and digital economy practices and models?

How will your business adopt / scale up green circular models and practices to improve sustainability at the firm and sector levels?

How your company plans to ensure project sustainability and replicability after the project period where: Sustainability- how the company will continue project activities when the project exits and, replicability is how the company can scale up a similar project in other regions)

Would your project proceed and be sustainable without GREENTech4CE Fund financial support?

Impact

Number of Direct Jobs Created

Number of Women Employed

Number of Youth (18–35) Employed

Do you work with informal waste collectors?

Contact Details

Business Information

Project Description

Social Impact

Supporting a Green Economy

Impact

Declaration

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