ESA BIC Noordwijk Open Call Template Page 1

1. Cover Letter
SUBJECT: Application ESA BIC Noordwijk [please insert your company name here] [please insert your own reference number name here]

REF:

Dear Madam, dear Sir, In response to the Permanent Open Call for Proposals for ESA Business Incubation Centre Noordwijk issued by BViT Noordwijk B.V., we are pleased to submit our proposal. Please find attached hereto the following documents: Requirements Checklist Declaration of State Aid received Executive Summary Business & Activity Proposal Additional Information (if any) The Application is compliant with the Requirements set out in the Call for Proposals as shown in the Requirement Checklists attached to this document and includes the signed State Aid Declaration Form and a Chamber of Commerce Registration Form. The contract conditions have been read, understood and accepted. Any queries relevant to the proposal are to be addressed to the attention of: [please insert your name and contact details here] Address Phone Fax email Contact information of the person(s) who will be in charge of the day-to-day management: [please insert your name and contact details here] Address Phone Fax email Contact information of the legal representative who will be signing the contract: [please insert your name and contact details here] Address Phone Fax Email Signature [please sign here] Place, Date [please place and date here] ESA BIC Noordwijk Open Call 2011

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2. Requirements Checklist
I hereby declare that my application is compliant to both General and Specific Application Requirements or that I shall undertake all necessary actions to ensure the compliance to same. Requirements Checklist ESA General Application Requirements: The Applicants product or service is based on a transfer of space technology to, and/or utilisation of a space system in. a non-space environment. The Applicant sells and delivers innovative products, processes or services (advice is excluded) for his own account and risk. The Applicants first registration at a chamber of commerce has taken place no longer than 5 years prior to submission of Applicants proposal to the Agency. By completing the State Aid Declaration Form the Applicant declares all state aid received during the three years prior to the prior to submission of the Applicants proposal to the Agency. The Applicant shall furthermore inform the Agency of any state aid received during the execution of the incubation contract. By completing the State Aid Declaration Form the Applicant declares all state aid received during the three years prior to the prior to submission of the Applicants proposal to the Agency. The Applicant shall furthermore inform the Agency of any state aid received during the execution of the incubation contract. The Applicant does not conduct business activities promoting, or being related to, alcohol, tobacco, religion, politics, intolerance, violence, firearms, pornography, obscenity, gambling or illegal drugs. Certain industrial sectors are excluded: the transport sector, the production, processing and trading of agriculture, fishery and aquaculture products, and the export sector. Therefore the applicant shall not conduct any direct activities within the abovementioned sectors. Also, the applicant shall not receive aid towards expenditure in connection with agriculture or fisheries. However, applicants who are not within these sectors but aiming at commercialising products or services amongst other activities to these sectors may still apply for the scheme. The Applicant is able to communicate in English. ESA BIC Noordwijk Specific Application Requirements: The Applicant states that the terms and conditions of the template incubation contract, the template tenancy agreement and template membership agreement are accepted without any reservations. The Applicant states not to be hosted in another business incubator or entity or organisation providing similar support, for the duration of the incubation contract. The Applicant shall register with a Dutch chamber of commerce as a Dutch legal entity at the first stage of the business incubation. The authorised representative shall become a resident of the Netherlands before signing an Incubation Contract. The Applicant gives the Rabobank permission for a credibility check. Company headquarters to be located at the offices of ESA BIC Noordwijk. Copy of Passport or similar document to identify the applicant (-s) Signature: _____________________________________ Date: ____________________________

Compliance Statement

Compliance Statement

ESA BIC Noordwijk Open Call 2011

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3. DECLARATION OF STATE AID

In view of the fact that the Applicant wishes to enter into an ESA Business Incubator through the signature of an ESA BIC Incubation Contract; In view of the fact that funding under an ESA BIC Incubation Contract constitutes State Aid; In view of the fact that companies are not required to report to the European Commission any State Aid received up to EURO 200.000 over a three-year rolling period (de minimis aid); In view of the fact that any public resources provided, be it in kind or in cash constitute State Aid; In view of the fact that any de minimis aid granted over the EURO 200.000 limit may be subject to repayment with interest, The Applicant states the following: I hereby declare the following State Aid received by the Applicant in the three years to the signature date of this declaration: 1. Date or period of State Aid received: Name of entity providing State Aid: Name of State Aid Scheme: Total amount of State Aid1: 2. Date or period of State Aid received: Name of entity providing State Aid: Name of State Aid Scheme: Total amount of State Aid: 3. Date or period of State Aid received: Name of entity providing State Aid: Name of State Aid Scheme: Total amount of State Aid: ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ ____________________________

Furthermore I undertake to inform the European Space Agency in writing of any State Aid2 received after the date of signature of this declaration until completion of envisaged ESA Incubation Contract. Signature: On this place and date: _____________________________________ _____________________________________

1 2

State Aid received in kind shall be calculated to its cash equivalent Other than the funding to be received in the frame of an ESA Incubation Contract

ESA BIC Noordwijk Open Call 2011

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4. Executive Summary
4.1 Business idea Describe your business idea in brief, including the relationship to a space technology and/or space system.

4.2 Implementation

4.3 ESA BIC Noordwijk investment opportunity

4.4 Goals

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5. Business and Activity Proposal

5.1 Presentation of the applicant A) B) C) D) E) 5.2 Background and history of the company Introduction of the entrepreneur Introduction of the management team Support entities Vision

Description of the business idea A) B) C) D) Business idea Core related customer needs Identified market Unique selling proposition

5.3 Description of the product and/or service A) B) C) D) E) F) G) Description of the product/service and the use The Space relationship Non-space benefit In-depth description of the technology Stage of development of the product/service Research and development Intellectual property

5.4 Market Analysis A) B) C) D) The market The market sectors The customer The geographical coverage

ESA BIC Noordwijk Open Call 2011

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5.5 Business model A) B) C) D) 5.6 Strategy A) B) C) D) The market approach Marketing strategy Sales strategy Pricing strategy Supply chain Suppliers Production Distribution

ESA BIC Noordwijk Open Call 2011

ESA BIC Noordwijk Open Call Appendix 2: Templates Page 7 5.7 Risk analysis

Positive I N T E R N A L E X T E R N A L Strengths Weaknesses

Negative

Opportunities

Threats

Fig 1. SWOT Analysis template

ESA BIC Noordwijk Open Call 2011

ESA BIC Noordwijk Open Call Appendix 2: Templates Page 8 5.8 Finance
ASSETS Current assets Cash Debtors Direct materials & Finished goods Property, plants and equipment IPRs Building and equipment Others Total 0 0 0 0 0 0 0 0 0

LIABILITIES AND STOCKHOLDERS'EQUITY Current liabilities Creditors Income taxes payable Stockholders'equity Common stock Retained earnings From last period Others Miscelleneous Total 0 0 0 0 0 0

Table 1: Assets and Liabilities next page Table 2: Profit & Loss Projections ESA BIC Noordwijk Open Call 2011

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PROFIT AND LOSS PROJECTION

Year 2011 man power in heads REVENUES Revenues from goods Revenues from services Total revenues COSTS Costs of goods/services sold Material costs R&D/ Product design costs Distribution costs Production costs Marketing costs Costs for good/services sold Gross Profit Gross Profit % Manpower Wages Other costs related to manpower Total costs for manpower Operating costs Administration costs Communications costs Travel costs others () Rent/housing Insurance Other costs Total operating costs Grand total costs / expenditure Depreciation Delta % Year 2012 Delta % Year 2013 Delta % Year 2014 Delta % Year 2015 Delta %

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0 0 0 0 0 #DEEL/0! #DEEL/0!

0 0 0 0 0 0 0 #DEEL/0!

0 0 0 0 0 0 0 #DEEL/0!

0 0 0 0 0 0 0

0 0 0 0 0 0 0 #DEEL/0!

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0

EARNINGS BEFORE INTEREST ADN TAX (EBIT)

ESA BIC Noordwijk Open Call 2011

0 0 0 0 0

EBIT

ESA BIC Noordwijk Open Call Appendix 2: Templates Page 10 5.9 Activity proposal A) Milestone planning

INCUBATION TIME
Task Task 1 Task 2 Task 3 Task 4 Task 5 Task 6 Task 7 Task 8 1 KO Milestones / Meetings e.g Design studies e.g Design experiments e.g Engineering design e.g Performance analysis e.g Market studies e.g Business Plan e.g IPR studies e.g Management Months or Weeks 2 3 4 5 6 7 8 9 10 11 12 13 MTR 14 15 16 17 18 19 20 21 22 23 n FR

KO= Kick Off MTR= Mid Term Review FR= Final Review

Fig 2: Milestone Planning

ESA BIC Noordwijk Open Call 2011

ESA BIC Noordwijk Open Call Appendix 2: Templates Page 11 B) TASK # OBJECTIVES SUB-TASKS COSTS Sub-tasks Costs () Tasks description and related cost

Total ()

OUTPUT

C) Funding

TASKS

COSTS
Product /Service Development( )
(incentive scheme)

TOTAL
IPR Management ESA Experts () (incentive (hours)
scheme)

Loan Request ()
(loan scheme)

Other sources ()

Task 1 Task 2 Task 3

0 0 0 0 0 0 0 0 0 0 0

TOTAL

Table 3: Funding split

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ESA BIC Noordwijk Open Call Appendix 2: Templates Page 12 D) Technical Support Technical Domains Electrical Engineering Control systems Control systems, Dynamics and mathematical analysis, Navigation guidance and control Data systems Computer & data systems, Microelectronics, On-board payload data processing Electromagnetics & Space Environment Antenna & sub-millimetre waves, EMC & antenna measurements, Wave interaction & propagation, Space environment & effects analysis Power & energy conversion Energy storage, Power conditioning, Solar generators, Power systems Payload system Communication systems, Microwave and millimeterwaves, Payload engineering, TTC and radio navigation Mechanical Engineering Thermal & structures Structures , Thermal control & environment control, Thermal analysis & verification Mechantronics & optics Automation & robotics, Opto-electronics, Microgravity, Mechanisms, Optics Propulsion & aerothermodynamics Aerothermodynamics , Propulsion engineering, Electric propulsion Product Assurance & Safety Components Radiation effects & components analysis techniques, Components standardisation, Component engineering Materials & processes Materials physics & chemistry, Materials mechanics and processes Quality, dependability and safety Dependability and safety, Quality assurance and management, Software product assurance Requirements & standards Systems and Software Software systems software engineering & standardisation, Modelling & simulation, EGSE/electrical testing, On-board software systems Systems and Engineering support Cost engineering operations, Concurrent design Use of existing in-orbit capacity Table 4: ESA Technical Expertise Support ESA BIC Noordwijk Open Call 2011 Support (No of hrs)

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ESA BIC Noordwijk Open Call Appendix 2: Templates Page 13 E) Business Support Business Support delivered through BViT coordination Personal Development testing positioning mentoring skills training Product Development idea generation for applications IPR knowledge concurrent design (rapid) prototyping lean & mean engineering project management knowledge Market Development market research marketing advice online positioning corp ident / web and others e-commerce knowledge marketing campaigns Business Development business model generation business network staffing service business planning coach book keeping legal advice Financial Development subsidy advice cash management accountancy funding advice investor readiness Inventory mark if needed estimate hrs

Table 5 : BViT coordinated Business Support

F) Management

6. Additional Information

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