This document is not an application form; it is a
replica of the application in the Investment
Management System (IMS) Portal and is intended
for use in preparation of your Callaghan Innovation
R&D Grant application. Before completing all
sections please take time to read the funding
agreement which is available from your account
manager.
When you are ready to apply, cut and paste the
information into IMS under the relevant sections –
please do not submit or upload this form. Before
you submit your proposal check you have
completed all sections that appear in the side bar in
IMS. If you have any questions please ask for
assistance.
G E N ER AL IN FO RM AT IO N
Print and submit
First talk to us
Callaghan Innovation strongly advises Applicants to discuss their proposed R&D Project Grant
BEFORE preparing an Application to ensure that they are eligible for funding. Contact your Callaghan
Innovation Account Manager or phone Callaghan Innovation on 0800 4 CALLAGHAN.
The Ministerial Direction sets out the rules for Business R&D Grants. Refer to the Ministerial Direction 7
December 2015. https://www.callaghaninnovation.govt.nz/grants/faqs
Funding Contract
Your Application will form part of your Funding Agreement with Callaghan Innovation. We advise that
you read the Funding Agreement before you submit your Application.
https://www.callaghaninnovation.govt.nz/grants/faqs
Need help?
For information about your Application please discuss with your Account Manager. For technical
support relating to the portal phone 0800 477 8326 or email
investmentsupport@callaghaninnovation.govt.nz, between Monday and Friday from 8:30am to 4:30pm.
Next steps
For additional information and forms, please visit our website
https://www.callaghaninnovation.govt.nz/grants/project-grants
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S ECT IO N 1: AP P L IC ANT INF O RM AT IO N
1.1 Application Summary
Investment area:
R&D Project
Contracting organisation:
The contracting organisation is the Applicant Business
("Business"), who will be responsible for signing the Funding
Agreement, should this Application be successful.
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Postal and Courier address:
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New Zealand Business Number:
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Total Project Costs:
Please enter your Total Project Cost (excl. GST) as calculated
in the Project Cost Template (Section TBC).
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Project Title:
Please use a brief project title that is not commercially sensitive.
If your Application is approved, project title, business name,
funding type and value will become public information.
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Proposed start and end dates:
Please enter the proposed start and end dates for the R&D
Project. These dates will be confirmed at time of contracting
should your Application be successful. (They may be different
from the dates recorded here). Costs will not be claimable
before or after the contract start and end dates.
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Statistics New Zealand Industry
Code (ANZSIC06V1.0):
Please provide the most appropriate Industry Code for your
business. Refer to
www.stats.govt.nz/tools_and_services/ClassificationCodeFinder
Enter text here
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1.2 Key Contacts
Add a contact person and financial liaison contact (A contact can have multiple roles).
The financial liaison contact should be the person responsible for the reports, claims
and payments.
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1.3 Bank Account
Please enter your Bank Account details and provide evidence of the bank account
information you have entered.
e.g. scanned bank deposit slip or screenshot form online banking. Please ensure that the bank account
name and detail can be clearly seen on the documentation provided.
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1.4 Business Background
a) Summarise your business' history, outline current products and services, the markets
you target and the revenues generated.
Maximum 250 words, bullet points preferred.
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S ECT IO N 2: B US IN E S S E LIG IB ILIT Y
2.1 Business Eligibility
a) Please confirm that your business is an eligible business entity.
A Company registered under the Companies Act 1993
A Limited Partnership registered under the Limited Partnerships Act 2008
A Maori incorporation or a trust established under Te Ture Whenua Maori Act 1993
A trust established on behalf of Maori claimants to receive and manage assets as part of the settlement
of a claim under the Treaty of Waitangi.
A Maori statutory body.
A business that is controlled by one or more of these types of Maori entities.
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b) If your business is a Māori Trust or a Māori statutory body, please identify the Act
under which your business was established.
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c) Are you aware of any issues (past, current or potential) relating to your business, its
Owners or Directors (or equivalent), or your products or services that could bring New
Zealand's or Callaghan Innovation’s reputation into disrepute?
If yes, outline the issues:
Maximum of 200 words, bullet points preferred.
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a) Does your business or any of the businesses in your group have an active R&D
Funding Agreement with Callaghan Innovation?
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2.2 Shareholder Details
Please list all shareholders or partners with equal to or greater than a 5% ownership, for
Limited Liability Companies, Maori Incorporation's and Limited Liability Partnerships
(referred to below as “shareholders”).
Shareholder name
Shareholder residency (NZ or Foreign)
Shareholding percentage
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2.3 Governance Details
Please list all the directors, members of Committees of Management, Responsible Trustees or
board members of the entity (referred to below as “directors”).
Director name
Director type (Executive or Non-Executive)
Years as a Director
Director shareholding percentage
Resident in NZ (Y/N)
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2.4 Board Experience
a) Comment on the experience of your Board, or equivalent.
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2.5 Grant Eligibility
Is your business eligible for a R&D Growth Grant?
Your business is not eligible for a R&D Project Grant if in each of the previous two financial years eligible
R&D expenditure is greater than $300,000 (excl. GST) and 1.5% of revenue (refer Ministerial Direction
for the full Growth Grant eligibility criteria).
(Please refer to your Account Manager with any eligibility questions.)
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2.6 Group Structure
a) Is the business part of a corporate group?
If no, move to Section 2.7
If yes, continue.
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b) Does the business have financial commitments to any members of the group?
If yes, please provide comment:
Maximum of 100 words, bullet points preferred.
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c) Is the business more than 50% beneficially owned by overseas interests?
If yes, please provide comment:
Maximum of 100 words, bullet points preferred.
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d) Prepare and upload a diagram of your group structure that shows:
• Ultimate holding entity business (note if overseas owned), and
• Any businesses in the group structure that has strategic and financial autonomy, and
• Parents, subsidiaries or sister businesses, and
• Show ownership percentages.
(There is an example of a group structure diagram provided in IMS)
2.7 Large Project Information
Upload the following documents if the Total Project Cost for your R&D Project is greater
than $500,000 (excl. GST).
• Organisation Chart
• Executive team biographies (maximum of 500 words, in total).
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S ECT IO N 3: D E V ELO P R & D P RO G R AM M E
3.1 R&D Project
a) Describe your R&D Project.
Maximum of 250 words, bullet points preferred.
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b) Describe the technical challenges you face to successfully complete your R&D
Project.
Maximum of 250 words, bullet points preferred.
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c) How will you overcome these technical challenges?
Maximum of 250 words, bullet points preferred.
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d) To what extent will the R&D Project contribute to the development of a more stable
and substantial New Zealand based R&D programme for your business.
Maximum of 200 words, bullet points preferred.
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S ECT IO N 4: AB IL IT Y T O DE LI V ER ( R& D O UT PU T S)
4.1 R&D Project Team
a) What expertise does your business bring to this R&D Project?
Provide details of your key staff and any new hires.
Maximum of 200 words, bullet points preferred.
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b) What external expertise (experts, other companies and research organisations) will
you engage for this R&D Project?
Maximum of 200 words, bullet points preferred.
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c) Do you plan to do any of the R&D activities overseas?
If yes, provide technical and cost details and explain why this work should be an
eligible expense.
R&D undertaken outside of New Zealand is not eligible for co-funding, except in limited cases where
Callaghan Innovation expressly permits it. In deciding whether to co-fund R&D undertaken outside
New Zealand, Callaghan Innovation will consider the benefits to New Zealand and whether similar
expertise or facilities are available in New Zealand.
Maximum of 200 words, bullet points preferred.
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4.2 R&D Project Management
a) Name the Project Manager and detail her/his project management experience.
Maximum of 100 words, bullet points preferred.
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b) How will you manage this R&D Project to ensure completion within time and
budget?
Maximum of 100 words, bullet points preferred.
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c) What are the potential R&D Project risks?
List the potential risks and the action(s) to reduce or manage those risks.
Maximum of 100 words, bullet points preferred.
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4.3 R&D Project Funding
a) Explain how you will fund your business’ share of the R&D Project costs.
Sources of these funds could include; shareholders’ funds, working capital, new shareholder or
investor funding. Be specific about what amount is available and the source of the funds.
Maximum of 100 words, bullet points preferred.
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4.4 R&D Project Plan
Please prepare a R&D Project Plan. The Plan is represented by a series of Objectives.
If possible, please limit your objectives to a maximum of 8.
Each objective must include:
1. An objective name
2. A work plan (a brief description of the work you will do with a focus on HOW you will overcome
the challenges you face)
3. Start and end dates for the objective; and a deliverable (a brief description of the desired
outcome you aim to achieve by successfully completing the objective)
The eligible costs for these Objectives will be included in the Project Cost Template in Section 4.5 and
must be labelled with the same Objective Name.
4.5 Project Cost Template
Please download the Project Cost Template, input your data, save the file and upload.
For information on eligible costs refer to the Project Grant Eligible Costs Guidelines on the Callaghan
Innovation website http://www.callaghaninnovation.govt.nz/sites/all/files/guidelines-project-grantseligible-costs.pdf
4.6 Supporting Cost Documentation
Please provide Quotes and Standard Terms & Conditions where:
1. The external labour is generating intellectual property in relation to the Project; and/or
2. The cost associated with the external labour is 15% or more of the Total Project Cost
Quotes must match costs in the Project Cost Template (Section 4.5)
S ECT IO N 5: P AT HW AY T O M AR K ET ( CO M M ERCI AL O UT CO M E S )
5.1 Market Entry
a) Detail the experience your business and your employees have in the target market?
If you have limited experience how will you address this issue?
Maximum of 200 words, bullet points preferred.
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b) What is your market entry strategy? What sales channels will be used to get your
new products, processes or services to market?
Detail agreements, expressions of interest, confirmed sales or co-development plans. (e.g. direct
Sales / distribution partners/licensing costs/franchising costs).
Maximum of 200 words, bullet points preferred.
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5.2 Competition and Intellectual Property (IP)
a) Profile competitors that are meeting a similar customer need as you. Outline their
strengths and weaknesses
Maximum of 500 words, bullet points preferred.
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b) Identify your point of difference and explain how you will protect your IP and
maintain competitive advantage.
Maximum of 200 words, bullet points preferred.
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c) Will your business own the IP that results from your R&D Project?
If no, describe how you have rights to the IP.
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5.3 Freedom to Operate
Have you completed a Freedom to Operate search?
If yes, summarise the results of the Freedom to Operate search.
If no, why not?
Maximum of 100 words, bullet points preferred.
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S ECT IO N 6: P RI V AT E I N V E ST M ENT R ET UR NS
6.1 Market Size and Growth
a) What is the total market size and current growth rate for the new product, process or
service?
Maximum of 100 words, bullet points preferred.
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b) What is your target market and what is its size for the new product, process or
service?
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Maximum of 100 words, bullet points preferred.
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c) Once your target market has been established are there any other opportunities
planned for the new product, process or service?
Maximum of 50 words, bullet points preferred.
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6.2 Projected Revenue
a) Enter a minimum of five years forecasted commercial returns ($NZD excl. GST) for
your business.
• Year 1, is the current financial year (Year-to-Date (YTD) actuals and budget for remaining year)
• Existing revenue, is revenue from existing products
• Domestic, is NZ-generated revenue
• Export, is revenue from outside NZ
• Project revenue, is expected revenue from this R&D Project
• Project R&D Costs, are the eligible costs for this R&D Project
• Other costs, are all other costs (marketing, manufacturing etc)
• Estimated profit, is Net Profit after Tax
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Domestic $
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Export $
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Domestic $
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Export $
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Project R&D costs $
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Other costs $
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Existing revenue
Total existing revenue $
Project revenue
Total project revenue $
Total company revenue $
Costs
Costs total $
Estimated profit $
b) Explain how you arrived at your revenue and cost estimates by describing your revenue
model and costs along with any assumptions you have used that affect your estimates.
Maximum of 250 words, bullet points preferred.
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S ECT IO N 7: G R ANT I M P ACT
7.1 Grant Impact
a) Explain the impact that the R&D Project funding will have on the delivery, timeframe,
scale, quality and/or commercial success your R&D Project.
Maximum of 250 words, bullet points preferred.
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S ECT IO N 8: B EN E FIT S O UT S ID E T HE B U SI NE S S
8.1 Benefits outside the Business
a) How much potential is there for benefit to accrue outside your business to other New
Zealand businesses or society?
Maximum of 250 words, bullet points preferred.
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S ECT IO N 9: FI N AN C I AL INF O RM AT IO N
9.1 Financial Information
a) Has your business been in compliance with all banking and financial covenants for
the last two years? If no, please explain.
Maximum of 50 words, bullet points preferred.
Enter text here
9.2 Financial Information Table
Please enter the last two years of financial information for the applicant entity in $NZD
(excl. GST).
Financial Year
Total revenue:
Net profit before
taxation (NPBT):
Exports
revenue:
R&D spend:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
R&D
FTE:
FTE:
Comment on your business' revenue for the last two financial years.
Please note any significant issues or changes (both positive and negative) within your business that
have affected these figures.
Maximum of 50 words, bullet points preferred.
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9.3 Financials – Total Project Cost less than $100,000
Complete this section if Total Project Cost is less than $100,000 (excl. GST).
Provide evidence that your business can fund its share of the project costs. Evidence
could be one or more of the following:
• Letter from bank (overdraft/loan facility)
• Bank Statement (latest)
• Balance Sheet (evidence of liquid assets)
• Customer contracts
• Confirmed customer orders
• Previous years Financial Statements
• Funding Agreement
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9.4 Financials – Total Project Cost greater than $100,000
Complete this section if Total Project Cost is greater than $100,000 (excl. GST).
a) Have the business' Financial Statements been independently audited?
If yes, please answer b).
If no, go to Section 9.5
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b) Was either of the previous two years' Financial Statements qualified?
If yes, please upload the Audit Management Letter into the section provided below.
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If yes please upload your Audit Management Letter
Once you have selected the file to upload, click SAVE in IMS - this will upload the document.
9.5 Financials – Total Project Cost greater than $100,000 (uploads)
Complete this section if Total Project Cost is greater than $100,000 (excl. GST).
Please upload the following:
• Financial Statements for the previous two financial years - financial position, Financial Performance
and statement of cash-flows
• YTD Management Reports - Financial Performance and Financial Position
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9.6 Optional Information
Please upload any other Financial Information you think is relevant to your Application
e.g. Forecasted Financial Statements.
9.7 Additional Information
The following documents are not required initially but may be requested during the
Assessment process. (Your Account Manager will contact you if this information is
required).
• Debtors and Creditors Ageing Report
• Monthly Cash Flow Projection (for the duration of the project or a minimum of 12 months if the project
is less than 12 months in duration, in an excel format)
• Order book information or revenue calculations
• Parent Financial Statements
S ECT IO N 1 0: AD D IT I O N AL I NFO RM AT IO N
10.1 Consultant
Did an external consultant assist with completing your Application?
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DE CL AR AT I O N
The information below is a copy of the formal declaration that will appear when you
submit your application.
You agree that by submitting this application to Callaghan Innovation, you declare and acknowledge the
following:
 I am authorised to submit the application on behalf of the applicant;
 The applicant is a legal entity capable of entering into a contract with Callaghan Innovation;
 The information in the application is true and correct;
 Information received and generated by Callaghan Innovation in relation to this application may
be released by Callaghan Innovation in accordance with Callaghan Innovation’s external
reporting requirements or if required by law, including in accordance with the requirements of the
Official Information Act 1982 or the Privacy Act 1993.
 Consent to the disclosure of this application and all information relating to this application, to
New Zealand Trade and Enterprises and regional business partners of Callaghan Innovation, for
the purpose of improving the quality of shared customer engagement and service provision.
To submit your application, click the 'Submit to IMS' button in the 'Print and submit' section.
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