MARITIME AUSTRALIA - INNOVATION AWARDS 2017

MARITIME AUSTRALIA
DEFENCE INDUSTRY SME INNOVATION GRANT – 2017
 
ENTRY FORM
 
1. Name and Address of Company:
Company Name:
Address of Company:
   

2. ACN of Company or Australian Business Number:
ACN of Company:
   

3. Number of Employees:
 
   

4. Declaration of Australian Ownership:
 
   

5. Point of Contact for this Nomination:
Name:
Job Title:
Phone:
Email:
Postal Address:
   

6. Brief Description of Innovation Nominated for this Award and the benefits it delivers:
(attach additional pages if necessary - marked as Annexe A)
Upload Additional Information:
   

7. Evidence of Commercial Success or Demonstrated Commercial Potential:
(Please note Paragraphs 1.4 and 2.2 of the Selection Criteria for this award. If any or all of this information is Confidential for any reason, please indicate here and contact the chair of the judging panel directly for further information)
   

8. Evidence of Understanding of User Needs:
(attach additional pages if necessary - marked as Annexe B)
Upload Additional Information:
   

9. Evidence of Originality and Innovation:
(attach additional pages if necessary - marked as Annexe C)
Upload Additional Information:
   

10. Name and Approval of Authorised Nominee:
Name:
Job Title:
Date:
Acceptance: