Product Development and Commercialisation Fund (PCF) [Company Name, ROC Number, and address] KINDLY COMPLETE THE FORM AND SUBMIT TO Research, Development & Commercialisation Ecosystem Multimedia Development Corporation Sdn Bhd MSC Malaysia Headquarters 2360 Persiaran APEC 63000 Cyberjaya Selangor Darul Ehsan Attn. to: Ms. Pak Mei Yuet Email: mypak@mdec.com.my Phone No: 03-8315 3099 Fax No: 03-8315 8786 Important Reminders Please be informed that we will not process your PCF application if: It is incomplete and/or It does not comply with the format spelled out in this form and/or Your company is not eligible as per PCF eligibility criteria About PCF To help local MSC Malaysia companies to accelerate the development and commercialisation of innovative, market driven products/solutions/services for global market IC-RDCE-PCF-APPFORM V18.3 Page 1 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 1. SECTION A: BACKGROUND OF APPLICANT (“Company”) 1.1 Name of MSC Malaysia Status Company: 1.2 Company Registration Number: 1.3 Incorporation Date: 1.4 MSC Malaysia Status Approval Date: 1.5 Registered Address: 1.6 Address at MSC Malaysia: 1.7 Telephone Number: 1.8 Fax Number: 1.9 Primary Contact Person 1.9.1 Name: 1.9.2 Designation: 1.9.3 Email: 1.9.4 Mobile: 1.9.5 Direct Line: IC-RDCE-PCF-APPFORM V18.3 Page 2 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 1.10 Secondary Contact Person 1.10.1 Name: 1.10.2 Designation: 1.10.3 Email: 1.10.4 Mobile: 1.10.5 Direct Line: 1.11 Shareholding Details 1.11.1 Authorised Capital (RM): 1.11.2 Paid Up Capital (RM): 1.11.3 Shareholding structure Shareholders of the Company % of Shareholding No. Of Shares Value of Shares (RM) If individual, If the please state shareholders nationality. If are related, company, please state please state the country of relationship incorporation Total 1.11.4 If any shareholder specified in Item 1.11.3 above is a company, please provide details of its equity structure in the table below: Shareholders of the Company Shareholders IC-RDCE-PCF-APPFORM V18.3 % of Shareholding No. of Shares Value of Shares If the If individual, shareholders please state are related, nationality. If please state company, the please state relationship country of incorporation Page 3 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Total 1.12 Current Workforce Title Local Foreign Total Management [designation] [designation] Professional / Technical [designation] [designation] [designation] Admin / Clerical / Support / Marketing [designation] [designation] TOTAL 1.13 Solvency Status 1.13.1 The Company is not the subject of a winding up order. ( ) True ( ) False 1.13.2 The Company is not the subject of a claim by any third party for the dissolution of the Company or for the appointment of a liquidator (including a provisional liquidator), receiver, judicial manager, trustee, administrator, agent or similar officer for the Company or over any part of the assets of the Company. ( ) True ( ) False 1.14 Declaration of Interest Please provide details if any shareholder or director of the Company is an immediate family member (i.e. parent, sibling, spouse, child) of any director or employee of MDeC. Name of shareholder or director of Company IC-RDCE-PCF-APPFORM V18.3 Whether shareholder or director Name of director or employee of MDeC Relationship Page 4 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my SECTION B: BUSINESS TRACK RECORDS 2.1 MSC Malaysia - Qualifying Activities (as stated in the MSC Conditions of Grant): 2.2 Please provide the financial information (as per audited account) in RM (‘000) for the past three (3) recent and consecutive years Item Year 1 (RM) Year 2 (RM) Year 3 (RM) Total Local Sales Total Export Sales Total Operational Expenditure Total Capital Expenditure Total Profit/ (Loss) Before Tax Total R&D Spending Outstanding Account Receivables Outstanding Account Payables Fixed Assets Current Assets Total Assets Short-term liabilities Long-term liabilities Total Liabilities 2.3 Innovation Track Records 2.3.1 Previous creations / works / products by the Company. IC-RDCE-PCF-APPFORM V18.3 Page 5 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Type of Creation / Works / Products (e.g. hardware, software, design, animation, games etc.) Name / Title Year of project completion Whether commercialised (Y/N). If Yes, please specify year and revenue to date 2.3.2 Intellectual Property filed / registered by Company (i.e. patents, utility innovations, industrial designs, trade / service marks) Intellectual Property Name Type Country Year of Filing Registered or Pending Registration Reg. No. (if registered) 2.3.3 Copyright Where a statutory declaration has been affirmed to evidence the Company’s ownership of copyright over any creations / works / products, please provide details as follows: Date of Statutory Declaration Description / Title 2.4 Kindly state if your company is currently a recipient of, or have previously received any funding from MDeC and/or any other Government Ministries or agencies. If yes, please state the following particulars: Type / Name of Fund Ministry / Agency IC-RDCE-PCF-APPFORM V18.3 Project Title Year Received/ Duration Grant Amount (RM) For previous grant recipient, whether the project funded has been Page 6 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my completed (Y/N) SECTION C: DETAILED PROJECT PROPOSAL 3.1 Project Title : 3.2 Problem Statement Provide the problem statement and clearly describe the rationale for the proposed product in meeting market demands and addressing problems faced by the market. Please state if your proposed product is meeting local and/or global market demands. 3.3 Project Description 3.3.1 Describe in detail how the proposed product addresses the problem statement. 3.3.2. Describe the unique selling point or differentiation of the proposed product vis-a-vis local and international competitors’ solution. Identify the uniqueness and innovativeness of the proposed product. 3.3.3 Describe in detail the new Intellectual Property (IP) (i.e. patent, trademark, copyright, etc) that will be developed and protected. (Note: It is mandatory to deliver at least one Intellectual Property (IP) (i.e. patent, trademark, copyright, etc) filed arising from this project. If you plan to file patent, please perform prior art search first to confirm the proposed patent is patentable.) Type of Intellectual Property to be filed (i.e. patent, trademark, copyright, industrial design, etc) Brief description of the IP Where will the IP be filed? 3.3.4 Provide the approaches, technologies used to develop the proposed product. Provide system architecture/design and process flow of the proposed solution. 3.4 Project Activities for Product Development Phase IC-RDCE-PCF-APPFORM V18.3 Page 7 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Describe the Project activities, deliverables, resource allocation and timelines. Fill in the Gantt chart below. (Note: Each project is funded for up to 18 months only with Product Development phase ranging from 4 months to 12 months and up to 6 months of Commercialisation phase). No Activity Duration Resource Month 1 2 3 4 5 6 7 8 9 10 11 12 Please provide measurable deliverables every 4-months. Deliverable Title Delivery Format (what is to be delivered, e.g. software, firmware, hardware, paper documents, IP) Delivery timeframe (end 4th month, end of 8th, end 12th month). Include the delivery timeframe for the IP filed mentioned in section 3.3.3 End of 4th Month Detailed description of deliverables including measurements, etc End of 8th Month End of 12th Month Please ensure that the above project activities and deliverables are mapped against the Project Cost (refer to 3.7) and the Gantt chart (refer to 3.4). 3.5 Project Risks and Mitigation Plan for both Product Development phase and Commercialisation phase Identify all risks and challenges that can potentially affect delivery of the Project within the stipulated timeframe. Provide a plan to mitigate the identified risks. You may use the following template. Description of risk 3.6 Impact to Project (High/Medium/Low) Probability of occurrence (High/Medium/Low) Mitigation Plan Project Personnel for Product Development Phase 3.6.1 Provide a project organisation chart and outline the roles of each project team member. Indicate the personnel to be hired. 3.6.2 Provide the qualification and related experience of the personnel hired / to be hired. Please use the following template. Provide CVs for all personnel involved in this project as per CV format attached. No Designation Qualification IC-RDCE-PCF-APPFORM V18.3 Role in Project Required Skills and Experienc e No. of positions opened / required No of positions currently Filled Vacant If filled, please state: Name Nationality Please Page 8 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my provide CV per format provided 3.7 Total Filled (Malaysians) Total TBH (Malaysians) Total Filled (Foreigners) Total TBH (Foreigners) Project Costing State all the financial assumptions that were used in arriving at the project costing (i.e. depreciation rate, exchange rate, etc.) as this is an important element which will be assessed. 3.7.1 Summary of Project Cost Total Cost Breakdown Estimated Cost (RM) (Exclude 6% GST) Item 4th month [3.7.2] Total Operational Expenditure 8th month 12th month 13th18th month Total 30% to 70% of Total Project Cost [3.7.3] Total Capital Expenditure [3.7.4] Total Other Costs [3.7.5] Total Commercialisation Cost TOTAL PROJECT COST 30% to 70% of Total Project Cost 100% 3.7.2 Part 1 – Operational Expenditure (Product Development phase only) Estimated Cost (RM) (Exclude 6% GST) Item 4th month 8th month 12th month Total Total (Salary) IC-RDCE-PCF-APPFORM V18.3 Page 9 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Total (EPF / SOCSO) Total (Intellectual Property ) Total Operational Expenditure Salary State breakdown on estimated salary, EPF / SOCSO expenses. Expenditure Breakdown No. Current Full Time Annual Salary (RM) Employee Name and Designation Period engaged on project Estimated Salary Cost (RM) Percentage of time spent on project (%) 4th month 8th month 12th month Total 1. 2. Total (Salary) EPF/SOCSO No. Item 1. Employment Provident Fund (EPF) payment 2. SOCSO Payment Percent of annual salary (%) Estimated Cost (RM) 4th month 8th month 12th month Total Total (EPF / SOCSO) Intellectual Property Cost State the estimated cost of registering Intellectual Property (i.e. country filed, lawyer fees, IP filing fees, etc) No Item IC-RDCE-PCF-APPFORM V18.3 Calculations Assumptions Estimated Cost (RM) (Exclude 6% GST) Page 10 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 4th month 1. Intellectual Property 8th month 12th month Total Type of IP, filing location, details of IP Cost Total (Intellectual Property) 3.7.3 Part 2 – Capital Expenditure (Product Development phase only) Provide justification (i.e. price per unit, quantity, technical specifications) for all required hardware, software and networking items and submit these cost estimates in the following format. Estimated Cost (RM) No. 1 Hardware, Software and Network Facilities Price per unit Quantity Technical specifications (Exclude 6% GST) 4th month 8th month 12th month Total <Provide details> 2 3 4 Total Capital Expenditure 3.7.4. Part 3 - Other Costs (Product Development phase only) Other Costs can be in two (2) forms: a. Outsourcing: Non-core (i.e. not knowledge-intensive) activities of the proposed Project can be outsourced subject to the PCF Committees’ approval. Please provide justifications and describe in detail the outsourced work, i.e. provider’s name, provider’s corporate profile, scope of work, deliverables, time involvement, fees. Please provide supporting documents. b. R&D Collaboration with Universities or Research Institutions Please provide justifications and describe in detail the R&D collaboration work, i.e. provider’s name, scope of work, deliverables, time involvement, fees. Please provide supporting documents. No Description IC-RDCE-PCF-APPFORM V18.3 Estimated Cost (RM) (exclude 6% GST) Page 11 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 4th month 8th month 12th month Total Total Other Costs 3.7.5 Part 4 - Commercialisation Cost Provide estimated commercialisation-related cost with justifications to achieve your sales targets within 6 months after the product development phase. The sales target will be tied to the final grant reimbursement of 20%. This 20% will only be disbursed upon delivering the sales target as per your specified timeline. Eligible Expenses for Commercialisation 1. Branding cost. 2. Advertising and Promotion a) Digital advertisement (i.e. social media, mobile with justification) b) Market Collaterals (i.e. Product packaging and design) 3. Market research and market validation. 4. Purchase of market data. 5. Participation in local & global trade fairs, exhibition, technology conventions to understand competitive landscape and MDeC and Matrade organised trade missions. 6. Testing or certification cost. Salaries including EPF, SOCSO of key sales & marketing personnel 7. Legal advisory cost – relating to distribution/reseller, licensing, franchising agreement 8. Travelling cost *Restricted only to travelling cost spent for meeting potential customers and for participation in trade fairs, exhibitions and etc. with justifications provided (i.e. company to provide full details of customer, objective, outcomes etc. ). Only applies to economy class travel with no more than 2 persons per trip. 9. Accommodation *Restricted only to accommodation cost spent during business trips for meeting potential customers and for participation in trade fairs, exhibitions and etc. with justifications provided (i.e. co to provide full details of customer, objective, outcomes etc. ). Claimable amount for accommodation in Asia and non-OECD countries is limited to RM500 per day. Claimable amount for accommodation in OECD countries is limited to RM700 per day. Any extra cost will be paid by the company itself. Important note: If your company is awarded the Market Development Grant (MDG) from Matrade pre/post PCF approval, then you are NOT allowed to double claim for the same expenses from PCF. IC-RDCE-PCF-APPFORM V18.3 Page 12 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Estimated Cost (RM) No Item Details & Justifications Item 1 Salary (Details to be given in the table below) 2 EPF (Details to be given in the table below) (Exclude 6% GST) 4th month 8th month 12th month 13th-18th Month Total Summary of Commercialisation cost IC-RDCE-PCF-APPFORM V18.3 Page 13 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 3 SOCSO (Details to be given in the table below) 4 (To add other commercialisation Cost. Pls give the cost description and justifications.) Total Commercialisation Cost Salary State breakdown on estimated salary, EPF / SOCSO of key sales & marketing personnel Expenditure Breakdown No. Employee Name and Designation Current Full Time Annual Salary (RM) Period engaged on commercialis ation Estimated Salary Cost (RM) Percentage of time spent for commerciali sation (%) 4th month 8th month 12th month 13-18th month Total 1. 2. 3. Employment Provident Fund (EPF) 4. SOCSO Total 3.8 Source of Funding Explain the source of funding for the balance of the project cost in the event your company is awarded the PCF grant. If the source of funding is from 3rd party, please provide evidence. IC-RDCE-PCF-APPFORM V18.3 Page 14 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my SECTION D : PROJECT COMMERCIALISATION 4.1 Market Potential Identify and describe the target market(s) for the proposed product in terms of value / units / geography and provide independent and current data on growth projections for at least 3 years. 4.2 Competition and Strategic Positioning 4.2.1 Identify and describe the key competitors with respect to the identified target market(s) 4.2.2 Explain how you intend to position your company relative to your key competitors. 4.2.3 Explain the product(s)’ positioning vis-à-vis the competitor offerings in terms of product pricing, features, performance, delivery and other relevant parameters. 4.3 Business Model and Sales Target 4.3.1 Describe the business model and commercialisation/sales strategies of the proposed product. (Please declare if the commercialisation activity is to be carried out by your sister or subsidiaries or holding company and provide explanation). 4.3.2 Provide Letter of Intent from existing and/or prospective customers (local &/ international) stating their intention to purchase the proposed product. Include the scan image of the letter. 4.3.3 Provide sales targets and market share goals for the next 3 years in relation to the identified target markets and declared positioning strategy. Calculation Assumptions (price per license, no. of licenses, no. of users, usage rates, etc) Description Sales target ( – by 18th month) Local Sales (RM) XX • Export Sales (RM) Revenue per year (please specify year) Year 2 19th – 24th month Local Sales (RM) Export Sales (RM) Local Sales (RM) Export Sales (RM) Year 3 Local Sales (RM) Export Sales (RM) YY Note: XX and YY is your sales target. The sales target will be tied to the final grant reimbursement of 20%. This 20% will only be disbursed upon delivering the sales target as per your specified timeline. Sales made to the your subsidiaries or holding company is not considered as contributing to the sales target unless your business model states that they are acting as your sales agent of the subsidiaries or holding as declared here. IC-RDCE-PCF-APPFORM V18.3 Page 15 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 4.3.4 Provide profit and loss projections for 3 years. Tell us the potential Return of Investment (ROI) of the proposed product from the PCF grant amount if you are awarded. Calculations Assumptions Description Year 1 Year 2 Year 3 TURNOVER Xxx LESS: COST OF SALES Xxx Gross Profit LESS: OPERATING EXPENSES Total Expenses NET PROFIT ROI (%) on the PCF (assume grant amount total project cost whichever is lower)-amount 4.4 grant amount. of up 50% of or RM750K, Turnover/grant Marketing Capabilities 4.4.1 Provide a sales and marketing organization chart and outline the roles of each sales and marketing team member. Indicate the sales and marketing personnel to be hired. 4.4.2 Provide the following details of all key sales and marketing personnel hired / to be hired (provide CVs for all key sales and marketing personnel hired as per CV format attached). No Designation Qualification Role in Project Required Skills and Experienc e No. of positions opened / required No of positions currently Filled Vacant If filled, please state: Name Nationality Please provide CV per format provided Total Filled (Malaysians) Total TBH (Malaysians) Total Filled (Foreigners) Total TBH (Foreigners) IC-RDCE-PCF-APPFORM V18.3 Page 16 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 4.5 Financial Management Capabilities 4.5.1Provide an organization chart of the financial team and outline the roles of each financial team member. Indicate the financial personnel to be hired. 4.5.2 Provide the following details of all key financial personnel hired / to be hired (provide CVs for all key financial personnel hired as per CV format attached). (Note: PCF supports funding 1 financial person at 30% time involvement in the project. Please include this cost item in the above 3.7.2 Part 1 – Operational Expenditure) No Designation Qualification Role in Project Required Skills and Experienc e No. of positions opened / required No of positions currently Filled Vacant If filled, please state: Name Nationality Please provide CV per format provided Total Filled (Malaysians) Total TBH (Malaysians) Total Filled (Foreigners) Total TBH (Foreigners) 4.6 Please take note that all government grants are expected to contribute to the National Level KPIs i.e. contribution to GNI/GDP, number of new high value jobs created, impact to community/society,increase ROI and increase exports. Describe how the proposed product potentially contributes any or/all of the National Level KPIs. You may pick and choose the relevant National Level KPI/s: a) Contribution to GNI/GDP GDP = EBITDA + Employee Compensation (wages, salary, bonus etc.) GNI = GDP +/- Net income from abroad (corporate & labour) GNI Calculation Template_11072012.xlsx You may use the attached Excel worksheet for ease of calculation. IC-RDCE-PCF-APPFORM V18.3 Page 17 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my b) Number of new jobs created. Please state how many of these new jobs attract average minimum income per month of RM7,000.00. _____________________________________________________________________________ c) Increase ROI _____________________________________________________________________________ d) Increase exports ______________________________________________________________________________ e) Impact to community/society. Please quantify the impact (i.e. SME enablement leads to increased xx productivity, B40 (bottom 40 i.e. an estimated 11.7 million or 40% of citizens in Malaysia that live within a household income of below RM3,050 per month. _____________________________________________________________________________ f) Please describe in detail any other value proposition arising from this project not mentioned above. IC-RDCE-PCF-APPFORM V18.3 Page 18 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my SECTION E: SUBMISSION FORM CHECKLIST (Please check and confirm that the following are complete and included in the submission) 5.1 One hardcopy and one softcopy of the following documents: (Note: Softcopy in PDF format to be saved onto CD-ROM) Duly signed of this application form Latest SSM search and Certified true copy of Form 9, full set of Form 24, Form 32A (if applicable), Form 44, Form 49, and M&A of the Company Certified true copy of Company’s latest audited account / management accounts for the last three (3) years CVs of all project personnel referred to in Item 3.6 (Section C) of this Application Form, as per the template attached herein below CVs of all key sales and marketing personnel referred to in Item 4.4 (Section D) of this Application Form, as per the template attached herein below CVs of all key financial management personnel referred to in Item 4.5 (Section D) of this Application Form, as per the template attached herein below Declaration by Company on its solvency status referred to in item 1.13(Section A) 5.2 Filled up all sections in this Application Form: Section A Section B Section C Section D IC-RDCE-PCF-APPFORM V18.3 Page 19 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Section E Section F - Signed Declaration at Item 7 herein below 5.3 Payment Non-refundable cheque for RM 3,180 (inclusive of 6% GST) payable to Multimedia Development Corporation Sdn Bhd as processing fee 5.4 AQIR : The Company has responded to and completed latest MDeC’s AQIR IC-RDCE-PCF-APPFORM V18.3 Page 20 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my SECTION F : DECLARATION We, …………………………………………………….<company name>…………….<company no.> (“the company”)hereby declare and state the following: 6.1 Intention to Apply The Company intends to apply to MDeC for funding under the Product Development and Commercialisation Fund (PCF) to assist the Company in carrying out product development and commercialisation activities for the proposed project identified in this application (“the Project”). 6.2 6.3 Acknowledgment (1) The Company acknowledges that the submission of this application and/or the fulfilment of the Eligibility Criteria specified in paragraph 6.3 below do not create an obligation or guarantee on the part of MDeC to approve the application herein. If this application is approved, any decision conveyed by MDeC to the recipient on the scope and amount of the funding offered (the “Grant”) and the conditions upon which the Grant is subjected to, shall be final and not open to any negotiation, appeal or recourse. If the application is rejected, the decision conveyed by MDeC to the Company shall be final and is not open to appeal or any other recourse by the Company. (2) The Company hereby acknowledges that while MDeC will use reasonable effort to safeguard the confidentiality of the information submitted in this application, MDeC shall be entitled to: (a) disclose the information submitted herein to such persons involved in the evaluation process of this application including without limitation MDeC’s employees, consultants, agents, advisors and/or such other persons as may be appointed by MDeC; (b) use any information submitted herein for the purposes of consolidation, analysis, and / or preparing statistics, provided that no identifiable details of the Company is disclosed and if the Company does not agree that any part of the information provided herein can be used for such purpose, it should expressly identify such data and highlight the same to MDeC in advance in this Application Form. Eligibility Criteria The Company is required to meet the following Eligibility Criteria to be eligible to apply for the Grant and upon receipt of the Grant shall continuously comply with such Eligibility Criteria at all times thereafter, throughout the availability period of the Grant: (1) The Company: (a) Is a company incorporated in Malaysia; and IC-RDCE-PCF-APPFORM V18.3 Page 21 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my (b) Is not the subject of a winding up order; and (c) Has a paid up capital of at least RM200,000; and (2) More than 50% of the legal and beneficial ownership of the Company is vested in Malaysian(s); and (3) a. The Company is not listed on local and/or international bourses and is not a company in which more than 50% of its ultimate legal and beneficial ownership (direct or indirect) is vested in a listed company; and b. If the Company has previously received any such funding for a different product development and commercialisation project(s), such project(s) has been completed successfully; and 6.4 (4) The Company is not a recipient of, or has previously received any funding under PCF from MDeC; and (5) The Company is and has been an MSC Malaysia Status Company for at least one (1) year as at the date of the application and complies with all conditions thereunder, including has responded to quarterly AQIR surveys conducted by MDeC; and (6) Work on the Project (which is the subject of the Grant application) has not been completed as at the date of this application; and (7) The Company is not listed on local and/or international bourses and is not a company in which more than 50% of its ultimate legal and beneficial ownership (direct or indirect) is vested in a listed company. Specific Conditions In the event this application is approved, the Company acknowledges and hereby agrees to be bound by such conditions as may be specified in the Funding Agreement to be signed with MDeC which shall include but not limited to the following conditions: (1) No part of the Project can be outsourced unless such outsourced portion(s) (a) pertains to non-core R&D activities only; (b) has been expressly declared in this application form; and (c) has been approved by PCF committees. (2) The Company shall submit to MDeC evidence of Intellectual Property Right having been created under the Project, comprising at least One (1) of any of the following: IC-RDCE-PCF-APPFORM V18.3 Page 22 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my 6.5 (a) filing applications of patent (excluding divisional patent), utility innovation, trade / service mark or industrial design with the relevant authorities; or (b) assertion of ownership of copyright by way of affirmation of statutory declaration. Utilisation of Grant In the event this application is approved, the Grant will be made available on a reimbursement basis in accordance with such milestones as may be specified in the Funding Agreement and the Company shall only utilize the Grant for APPROVED CLAIMABLE COSTS only. “Approved Claimable Costs” is defined to mean such item(s) and amount(s) that are eligible to be claimed under the Grant and incurred by the Company in relation to the Project as specified in the Funding Agreement. Unless specified otherwise in the Funding Agreement, Approved Claimable Costs will be limited to the following categories: a) Operational Expenditure (OPEX) (1) (2) (3) Salary Payment voucher Salary report / List of payroll EPF / SOCSO EPF & SOCSO statement Payment voucher IP Registration Proof of IP filing Receipt Invoice Payment Voucher b) Capital Expenditure (CAPEX) (1) Hardware, Software and Network Facilities Invoice Delivery order Payment voucher / receipt c) Other Cost (1) Outsourcing: Non-core Invoice Payment voucher / receipt (2) R&D Collaboration with Universities or Research Institutions. Invoice Payment voucher / receipt IC-RDCE-PCF-APPFORM V18.3 Page 23 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my d) Commercialisation Cost 6.6 Purchase Order Invoice Delivery order Payment Voucher / Receipt Salary report / List of payroll (for the sales & marketing person/s if applicable) Liability to Repay the Grant In the event this application is approved, the Company shall, in the event the Funding Agreement is terminated, be liable to repay to MDeC the full amount of the Grant disbursed to the Company or such smaller sum as MDeC in its sole and absolute discretion may specify in accordance with the provisions of the Funding Agreement. 6.7 True and Accurate The Company hereby declares that all information, financial and other statements, reports and other documents and data furnished, or to be furnished to MDeC, in connection with the Project and this application does not contain any untrue statements and were honestly provided and made upon due and careful inquiry and we have not omitted to state any fact(s), the omission of which makes such statements misleading. 6.8 Personal Data Protection Statement The Company hereby represents and warrants that with regard to the personal data (as defined under the Personal Data Protection Act 2010) provided to or to be provided for the purpose(s) of and/or in connection with this application and the Project, the Company has obtained the required consent for MDeC to process the personal data in question. The Company agrees that, with regard to the personal data which may be provided by MDeC to the Company for the purpose(s) of and/or in connection with this application and the Project, the Company shall comply with the Personal Data Protection Act 2010. <The remainder of this page is intentionally left blank> IC-RDCE-PCF-APPFORM V18.3 Page 24 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Submitted by and on behalf of name>…………….<company no.>: Signature : Date : …………………………………………………….<company Name / NRIC : Designation : Email : Phone : Signature of witness : Date: Name / NRIC : Designation : Email : Phone : IC-RDCE-PCF-APPFORM V18.3 Page 25 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my ATTACHMENT To guide the Company in its application herein, the following are some of the key considerations to be taken into account when assessing the application: ASSESSMENT CRITERIA Category 1: Technical Merits The problem statement shows that the company has conducted a comprehensive market study and has in-depth understanding of the market needs. Proposed solution is innovative, unique and sufficiently differentiated from local and global competitors’ solutions. Proposed approach, technologies, system architecture/design are relevant, scalable, flexible and not obsolete. Proposed hardware, software, network facilities, resources and other support are relevant to the success of the project. Project activities, project deliverables, resource allocation and timelines are realistic and achievable. Key project risks been adequately identified and there is a credible Risk Management Plan. The project team has the necessary skills and experience / track record to deliver the project. Substantial involvement of Malaysian Knowledge Workers in the core project elements. Project manager has a proven track record or experience in project management. Category 2: Commercial Merits The company has defined its target market accurately and there are credible projections of future market growth. The company target market is the global market. The company has clear sales targets and market share goals been established in terms of geography and timelines. The company has submitted credible Letter of Intent from prospective clients. The company has a clear understanding of the competitive landscape within their target markets and has drawn up a credible positioning strategy for their product vis-à-vis competitors (The positioning strategy must be supported by the proposed product pricing, features, performance and delivery). The company’s sales strategies, business model, identification of customers are credible, sustainable and attainable to achieve commercialisation targets within 6 months after the product development phase. Adequate sales & marketing expertise with proven track record to achieve commercialisation within 6 months after the product development phase. To what extent can the project outputs potentially meet National Level KPI? (FYI: These are explained in the PCF Application Template). a) Contribution to GNI /GDP b) Number of new jobs created. And how many of these new jobs attract average minimum income per month of RM7,000.00. c) Increase ROI d) Increase exports e) Impact to community/society Category 3: Financial Merits Integrity in cost estimates. (i.e. Salaries, IP cost, capital expenditure cost , , commercialisation cost and etc.) How healthy is the company’s financial standing? Is there evidence of financial management capabilities and resources? Company has adequately addressed the source of funding for this project. If the source of funding is from 3rd party, company has provided adequate evidence. IC-RDCE-PCF-APPFORM V18.3 Page 26 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my Curriculum Vitae Template Please use the following format when submitting the curriculum vitae of all project personnel and marketing personnel: A. B. C. Personal Data Salutation : Name : Date of Birth : Nationality : Educational Qualification Degree/Diploma : Field : Year of Award : Name and Place of Institution : Employment History (starting with current employer) Name of Employer : Period of Employment (state the year) : Title of Position Held : Work Experience (describe the project/sales & marketing/finance experience and achievements) : (Repeat for each position held) IC-RDCE-PCF-APPFORM V18.3 Page 27 of 27 Multimedia Development Corporation Sdn. Bhd. (389346.D) 2360 Persiaran APEC, 63000 Cyberjaya, Selangor Darul Ehsan, Malaysia. Telephone: +603 8315 3000 Fax: +603 8318 8519 Email: clic@mdec.com.my IC-RDCE-PCF-APPFORM V17.8 Page 25 of 27 URL: www.mscmalaysia.my