Application form - step 1 : Innovation Vouchers Initiative - Invest NI

The Application form is under construction.

Please check back soon for more information.

Company Details:
Company Name:(The Initiative is restricted to Registered Companies only)
Company Registration Number:(Please enter a valid CRN number only)
Business Address:(Please provide full postal address including country)
Principal Business of Applicant:
Email:
Telephone:
Contact Details:
Title:	Please select Dr Mr Mrs Ms Prof
First Name:
Surname:
Job Title:

Declaration by ApplicantAn authorised Officer of the Company should complete this Declaration.
The Company is a small business [1]	Yes No
The Company will use the innovation voucher for eligible activities only as part of the research project [2]	Yes No
The Company is solvent and no distress or execution has been levied against it:	Yes No
The amount of Innovation Voucher will not result in a breach of the De Minimis Aid regulations of €200,000 received within the past three years.(See Notes section):	Yes No
The project is not already in receipt of or likely to be in receipt of any public funding, or forms part of an overall project which Invest NI is supporting or has supported.	Yes No
If you have answered no to the above question please provide the name of the funding programme(s) and date(s) funding awarded:
Name of Authorised Officer: