THE SSI-NSA IG Proposal Form FY 2015

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THE
THE
SSI-NSA INNOVATION GRANT PROPOSAL FORM – FY2015
SSI-NSA Innovation Grant (SSI-NSA IG) and the Objectives
To give the National Sports Associations (‘NSAs’) more certainty and a funding booster, THE
SSI-NSA IG is a grant scheme to support innovative ideas and the developmental plans.
Projects that may qualify for THE SSI-NSA IG scheme funding, demonstrate the potential of
the following broad elements:




Catalyst to value-add and inject new energy to take the sport to the next level;
Be the new growth engine for sport through innovation;
Be a game-changer that revolutionise and transform the sport or NSA;
Have desired incremental, long-term effect on the national sport delivery and eco-system.
Application Procedures
(1) Meet with your Sport Development Manager (‘SDM’) or Sport Singapore’s officer to
discuss the feasibility of your plan and to understand the channels of support, including if
THE
SSI-NSA IG scheme amongst other Sport Singapore’s grant schemes, is appropriate.
(2) Complete all sections in THE SSI-NSA IG Proposal Form (‘the Form’). If the space
provided is insufficient, a separate sheet may be used. Where information is not yet
available or the field is not applicable, please do not leave blank and indicate
accordingly.
(3) Ensure that the below documents are properly labelled as Annex and accompanied in
the submission of THE SSI-NSA IG Proposal Form:
Accompanied Documents
Annex A

Annex B

Annex C

Annex D


The latest statutory accounts and the
auditor’s report of the NSA.
The organisation chart of the NSA’s
management committee.
A separate sheet on the full project timelines
– milestone dates, procurement process,
certification of project (where required) etc.
A separate sheet on the full budget
breakdown of the project.
Attach at least two quotations from identified
suppliers if procurement of goods/services is
applicable.
Required
Yes
(all submissions)
Yes
(all submissions)
Optional if the project
timelines has been detailed in
FULL under Part Two of the
Form.
Optional if the budget
breakdown has been detailed
in FULL under Part Six of the
Form.
(4) Submit THE SSI-NSA IG Proposal Form and above accompanied documents to your
dedicated SDM or Sport Singapore’s officer. THE SSI-NSA IG Proposal Form should
reach Sport Singapore (Attention: Business Planning Department, Singapore Sports
Institute), by hand, before the close of FY2015 grant call application on 15 May 2015,
Friday.
THE SSI-NSA IG FY 2015 | Property of Sport Singapore | No part of the Form is to be altered
Page 1 of 5
PART ONE
INFORMATION
ORGANISATION
Name of the NSA or
Organisation
Type of the NSA or
Organisation
(tick one only)
NSA
OF
THE
NATIONAL
Charity status
Commercial Entity*
Yes
SPORT
ASSOCIATION
(NSA)
OR
No
*Please submit an organisation
profile, including registration
information and testimonials as
supporting documents.
UEN/ACRA No :
Others* : Name of Organisation
Address
Postal
Code
Salutation
Country
Contact Person
Name
Designation
Mobile
Tel/DID
Fax
Email
Website
PART TWO
DETAILS OF THE PROJECT
Description of the
Project
Executive Summary
of the Project
Start Date (or
Effective Date)
dd/mm/yyyy
Project timeline
(Please indicate below or elaborate in a separate sheet and label it as Annex C)
PART THREE
End Date (or
Expiry Date)
dd/mm/yyyy
Type of
Sport
SUMMARY OF JUSTIFICATIONS
(Please describe the key considerations for applying THE SSI-NSA Innovation Grant)
How does the project (or the project’s concept) support each of the below objective of THE SSI-NSA Innovation Grant?

Catalyst to value-add and inject new energy to take the sport to the next level;

Be the new growth engine for sport through innovation;

Be a game-changer that revolutionise and transform the sport or NSA;

Have desired incremental, long-term effect on the national sport delivery and eco-system.
THE SSI-NSA IG FY 2015 | Property of Sport Singapore | No part of the Form is to be altered
Page 2 of 5
PART FOUR
WHAT SUCCESS WILL BE LIKE
(Please summarize the key desired outcomes of the project)
What success will look like at the end of the project?
PART FIVE
PROJECT PATHWAY AND IMPACT
(Please describe your strategies in details)
A. Social Impact
How does the project promote the value of sport in a deliberate manner?
B. Sporting Impact
How does the project build a sporting culture with Singaporeans or Corporate Singapore?
How does the project promote affinity of Team Singapore (TS) with the community?
In organising this project, what are the short and long term benefits in capacity and capability development for the
organiser, coaches, officials, local athletes and sport professionals?
THE SSI-NSA IG FY 2015 | Property of Sport Singapore | No part of the Form is to be altered
Page 3 of 5
C. Economic Impact
What is the long-term vision and targets for future growth of the project?
How can the project develop the local sports industry? e.g. Upgrade technical capabilities, sustained job creation, attract
foreign investments and start-ups
How does the project enhance the reputation of Singapore as a leading sports event city?
How does the project demonstrate a unique value proposition for Singapore?
PART SIX
SUMMARY OF SUPPORT REQUEST FROM SPORT SINGAPORE
(Please select the forms of support that you wish to enlist from Sport SG AND attach the breakdown for funding support, including
quotations from identified suppliers)
1
Funding Support
Total Amount (S$):
Intended use of funds:
(Please indicate below or elaborate in a separate sheet and label
it as Annex D)
2
Facilities Support
(Booking of Sport SG-owned
venues not including Sports Hub)
Description:
3
Any Other Forms of Support:
(Please indicate below or elaborate
in a separate sheet)
Description:
THE SSI-NSA IG FY 2015 | Property of Sport Singapore | No part of the Form is to be altered
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PART SEVEN
DECLARATION
Has the company/association received, applied, or intend to apply for any financial support from other
government agencies in Singapore?
No
Yes (please provide details below)
Name of Scheme
Name of Agency
Name of Scheme
Name of Agency
Name of Scheme
Name of Agency
Name of Scheme
Name of Agency
Name of Scheme
Name of Agency
Has any legal proceedings been taken against the Company, including those which have commenced,
concluded, or are ongoing?
No
Yes (please provide details of ongoing or concluded legal proceedings)
On behalf of myself and the Organisation:
i)
ii)
I declare that I am duly authorised by the Company to make this application on behalf of the Organisation.
I declare that the information provided in this application is true and accurate to the best of my knowledge and I
have not wilfully suppressed any material facts. I acknowledge and agree that any misrepresentation or omission
in information will be grounds for the withdrawal of funding, if granted, and/or the recovery of any funds disbursed.
iii) I undertake to inform Sport Singapore promptly in writing of any changes to the information provided in this
application and any changes to circumstances that may affect this application. I further undertake to promptly
provide the Sport Singapore with such information, documents and other materials as it may require from time to
time in connection with this application.
iv) I acknowledge that the submission of this application does not, of itself, automatically entitle the Organisation to
funding.
v) I hereby release the Sport Singapore, its directors, offices, agents or contractors from any and all liability
whatsoever, to the full extent allowed by law, arising out of or in connection with any action, recommendation or
advice or any of its services.
vi) I consent to the release by one of the contents of this application by the Sport Singapore to third parties as
appropriate, including without limitation sponsoring organisations or government agencies.
Application completed by:
Name
Designation
Tel/DID
Mobile
Email
Name of the
NSA/
Organisation
Official
Stamp of the
NSA/
Organisation
Signature
Date
THE SSI-NSA IG FY 2015 | Property of Sport Singapore | No part of the Form is to be altered
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