THERE ARE TWO APPLICATION FORMS FOR NEIS: THIS FORM + THE GOVERNMENT FORM.

PLEASE COMPLETE BOTH

Australian Business Development Centre has presented NEIS to more than 6,000 businesses. Many of them are doing well; some have grown to be significant employers and are operating internationally. In the end, it is not how big the business grows that is important but how well it fulfils your goals and dreams. NEIS is a wonderful opportunity to take control of your life and get things moving in the direction that you want. We hope you enjoy the journey. Confirming your contact details

Your name birth Daytime contact numbers (home & mobile) Email address
Our reply will be to your EMAIL address if you have given one make sure you check it regularly.

Date of

About your proposed business

Give a brief description of your proposed business:

Australian Business Development Centre, GPO Box 513 Hobart Tasmania 7001, Ph 6224 1107
tasmania@abdc.com,au

THERE ARE TWO APPLICATION FORMS FOR NEIS: THIS FORM + THE GOVERNMENT FORM. PLEASE COMPLETE BOTH

Describe the specific target market for your products or services?

Outline your market research to date. Describe the work experience, customer feedback, internet & media research, and early sales which prove to you that this business will be viable.

Who are your competitors, and what prices do they charge for products similar to yours?

How will your products or services be different to theirs?

What is your unit price? ___________________________ To be viable, NEIS businesses need to aim for about $2000/mth gross income. Please explain how your business will achieve this target within its first year

Do you need finance to set this business up?

Yes

No

If YES, where are you going to get the funds from? (Remember NEIS is only income support and does not provide finance)

About your proposed business

Australian Business Development Centre, GPO Box 513 Hobart Tasmania 7001, Ph 6224 1107
tasmania@abdc.com,au

THERE ARE TWO APPLICATION FORMS FOR NEIS: THIS FORM + THE GOVERNMENT FORM. PLEASE COMPLETE BOTH

Tell us about what you have in place already Describe what equipment you already own

What do you need to purchase so that you can start?

Where do you plan to operate?

Do you have all the necessary licences and approvals to sell your products, and operate at the site you have chosen? Yes No (If not, what do you need and when do you expect to get them?)

Who will help you in your business?

Are you intending to have a partner in this business? If yes, are they NEIS eligible: Yes No

Yes

No

Do you already have a partnership agreement in place?

Yes

No

Can you give us an idea of the following general costs per month that may be associated with operating your business? Advertising costs Utilities $_______________ Vehicle costs$________________ Phone/internet Insurances $________________ $_______________

(power/gas) $_______________ $_______________

Raw materials/stock

Approximate cost of running the business per year (TOTAL)

$________________

Australian Business Development Centre, GPO Box 513 Hobart Tasmania 7001, Ph 6224 1107
tasmania@abdc.com,au

THERE ARE TWO APPLICATION FORMS FOR NEIS: THIS FORM + THE GOVERNMENT FORM. PLEASE COMPLETE BOTH

Tell us about your skills and background What education level, or training and qualifications do you hold, particularly the ones relevant to your business idea?

What experience & skills do you have relevant to your business idea? If relevant, include personal, recreational as well as work-related skills

Now the signing bit Please check all your contact details are correct before you lodge the application. Our reply will be to your EMAIL address if you I certify that the information I have supplied on this form is complete and correct to the best of my knowledge and that false information may lead to refusal, suspension or termination of NEIS assistance Signed Witness have given one make sure you check it regularly. Email/fax this application plus the Government NEIS Application form to tasmania@abdc.com.au . Phone if youd like an appointment. Tasmania Maggie Nettleship ABDC GPO Box 513 Hobart 7001 Fax 6224 1196 Geelong Julie Stewart ABDC 78 Moorabool St Geelong 3220 Bendigo Shayne Kellow ABDC 35 Wills St Bendigo 3550 Warrnambo ol Ciaran Keegan ABDC 715 Raglan Pde Warrnambool 3280 Mt Gambier Ciaran Keegan ABDC 715 Raglan Pde Warrnambool 3280 Date

Any problems ph 1800 025 112 (freecall) or 6224 1107

Australian Business Development Centre, GPO Box 513 Hobart Tasmania 7001, Ph 6224 1107
tasmania@abdc.com,au

THERE ARE TWO APPLICATION FORMS FOR NEIS: THIS FORM + THE GOVERNMENT FORM. PLEASE COMPLETE BOTH

The next step is that we will contact you by email/phone to confirm your eligibility. We will advise you of the next course dates and may send you a Feasibility Study to complete whilst waiting for the your interview

All the best!

Australian Business Development Centre, GPO Box 513 Hobart Tasmania 7001, Ph 6224 1107
tasmania@abdc.com,au