Chamber of Commerce number

If you do not have a Chamber of Commerce number, please complete the field below.

Other EU registration number / reason for not having a Chamber of Commerce number

Postcode and town/city

Number of employees of your organisation

Year the organisation was founded

Legal form of the organisation

Name of authorised signatory

Postcode and town/city

Contact person’s name

Confirm E-mail address

Telephone number

Please enter at least 1 telephone number

Mobile telephone number

Please enter at least 1 telephone number

Chamber of Commerce number

Intermediary contact details

Contact person’s name

Telephone number

Please enter at least 1 telephone number

Mobile phone number

Please enter at least 1 telephone number

E-mailadres bevestigen

Public summary of the project

Please state the SBIR DM number of the bid request.

This number begins with SB

Maximum price as specified in the SBIR-call

The maximum price is €50,000 including VAT

Bid price

Please check that your price does not exceed the maximum price.

Total project costs (your costs excluding VAT)

Total project costs (your costs including VAT)

I declare that I am quoting at a VAT rate of 0%

Enter the details of your other grant(s)/assignment(s).

Please fill in: name of subsidy scheme, subsidy provider, status, and subsidy amount.

Attachments

Please download the mandatory attachment(s) for your SBIR DM call to your own device. Complete these and save them on your device first. Then upload them via this form.

Please use the acronym as the title for all your digital files to ensure correct and speedy processing. Example: acronym.projectplan.pdf

Attachment A Project plan including management summary and budget

One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Attachment B Business plan

Alleen verplicht bij een fase 2 offerte

Appendix C: Executive summary as a separate (PDF) file

Only mandatory for a Phase 1 quotation

Appendix D Authorisation

Only mandatory if an intermediary submits your offer

Any other attachments 1

Any other attachments 2

Any other attachments 3

Please tick the boxes below:

I am authorised and/or empowered to submit this SBIR DM bid.

I declare that this form and the attachments have been completed truthfully.

I have read the SBIR in Developing Markets - Guide for businesses.

I am familiar with the terms and conditions and procedures of this pre-commercial procurement as described in the SBIR DM documents, and I accept them.

My organisation meets the conditions set out in the SBIR DM documents.

If applicable: the partners named in the plan reviewed the project plan and agree to it.

Leave this field blank

Applicant

Contact person

Intermediary

Intermediary contact details

Project

Attachments

Declaration