Business Start-up Fund Application Form

You will need to upload a bank statement in the applicants name or the name of the business.

You will need to upload 2 quotes for each capital item which is part of the grant application.

You will need to upload proof of identity.

You will need to upload proof of address.

You will need to complete a Business plan and cashflow forecast

Business Plan Upload:*

Cashflow Forecast Upload:*

If you have queries relating to this application process then please email businessfunds@bridgend.gov.uk

SECTION 1 – APPLICANT DETAILS

Registered Name*

Forename*

Surname*

Home Address of Applicant

Postcode:

Building Name:

Secondary Name:

Street:

District:

Town:

County:

Address of Business (Property to which application refers, if different):

Postcode:

Building Name:

Secondary Name:

Street:

District:

Town:

County:

Date of Birth*

Telephone*

Mobile

Email*

Applicant’s preferred language for communications:*

English

Welsh

Web Site

Will this be your only operating address?*

Yes No

Businesses operating from home will need to check whether they need planning permission. Please complete the section below and if planning permission is required you will be advised accordingly. For Business Rates please contact the Council’s Taxation Department on 01656 643643.

Will customers be visiting the premises?*

Yes No

What are the intended operating hours of the business?(please note that in order to qualify we expect a minimum of 30 hours a week)*

Will any staff be employed at the premises?*

Yes No

List the names of ALL the Proprietor/Partners/Directors in the Business*

Does the company/directors of company have an interest/shareholding in any of the companies supplying quotes/estimates for the grant application? *

Yes No

SECTION 2 – BUSINESS STRUCTURE

What is the status of your business, or proposed status?*

Sole Trader

Limited Company

Community Business

Partnership

Co-operative

Other

Company registration no. (if available)

Unique tax reference number

VAT registration no. (if available)

Please describe the product or service that you intend to make, sell or provide*

When do you plan to commence trading/or date business started?*

SECTION 3 – PROJECT DETAILS

Please provide a summary of what the grant will be used for:*

Please provide a breakdown of the costs for the proposed project. The minimum grant available is £250 and the maximum is £4,000. Expenditure should not be incurred before grant approval as the grants cannot be awarded retrospectively. Ensure that quotations are included with this application. Two quotes are required for each item and the one you are using should be the cheapest and the suppliers name placed in the supplier 2 box on the form below and the cost placed in the Cost 2 box on the form below.

Item	Supplier 1 - This is the comparison and not the company you will use	Cost 1 - This is the comparison cost	Supplier 2 - This is the company you will use	Cost 2 - This is the cost that will be calculated for the grant and is cheaper than cost 1
* Item0 is required	* PotentialSupplier0 is required	*	* Supplier0 is required	*

Total project cost (excluding VAT)				*
Own funding				*
How much money are you applying for? (Maximum grant is 50% of the total project cost or £4,000 – whichever is lower)				*

Upload Quotes:*

SECTION 4 – EMPLOYMENT DETAILS

Are you currently:*

If you are already employed, what is your job title and how many hours do you work per week?

Job Title:

Hours worked per week:

How many people are directly employed in the business, including you?

Existing Jobs

Full-Time*

Part-Time*

Please indicate the number of jobs that will be created if this grant application is successful and the project proceeds. Projects creating direct employment will be favoured; however successful applications will be expected to fulfil the levels indicated on the application form. Failure to comply may result in forfeiture of the grant and may prevent further applications. Applicants are therefore reminded to keep estimates to realistic levels.

Created	Permanent
Full-Time	*
Part-Time	*

SECTION 5 – ADVICE AND SUPPORT

Are you receiving any advice on setting up or expanding your business?(Please tick those that apply)

Business Wales

Other (please specify)

None

Please contact Business Wales https://businesswales.gov.wales/starting-up/ if you need support to set up your business.

Please tick this box if you would like Bridgend CBC to contact you in relation to other grant schemes and business support opportunities as they arise. Please note you have a number of rights under GDPR regulations including the right to opt out of this in future.

SECTION 6 – BUSINESS BANK DETAILS (required for grant payment)

Have you set up a bank account you will use for your business?*

Yes No

SECTION 7 – STATE AID – EUROPEAN/PUBLIC FUNDING

Aid under the Business Start-up Fund is delivered in line with the Regional Aid Guidelines Block Exemption (EU) No. 651/2014 under Commission reference SA.39123.

Have you received any other public sector funding during the last 3 years? Please include grants related to the recent lockdown restrictions
*

Yes No

SECTION 8 – FORMAL DECLARATION

Do you or any of the Partners/Directors/Co-owners have an interest in any other business, whether or not in connection with this grant application?*

Yes No

Have you or any of the Partners/Directors/Co-owners ever been adjudged bankrupt within the last 7 years or has a scheme of arrangement or composition been made with your creditors under the provision of the Bankruptcy Act? Have you or any of the Partners/Directors/Co-owners any outstanding County Court Judgements? *

Yes No

Have you or any of the Partners/Directors/Co-owners ever been convicted of fraud or any other offence involving dishonesty?*

Yes No

Have you or any of the Partners/Directors/Co-owners ever been a Director or substantial share holder in a company which ceased trading or has gone into liquidation or receivership or for which an administrator has been appointed?*

Yes No

Do you or any of the Partners/Directors/Co-owners currently have any outstanding debts with Bridgend County Borough Council? *

Yes No

Have you previously received or are currently applying for funding from any EU or public funding programme for this project?*

Yes No

Have you received any financial assistance from the EU or public body for any other project within the last three years? *

Yes No

ADDITIONAL INFORMATION

Please provide a copy of ONE of the following from List A & B:

List A (Photo ID)

Full valid photo UK driving licence
Valid Passport
UK provisional driving licence

ID evidence upload:*

List B (Proof of Home Address)

Bank/building society/credit card statement (Dated within last 3 months)
Utility bill (not mobile phone or internet service providers) (Dated within last 3 months)
Council Tax Bill (Dated within last 12 months)
HMRC or DWP letter (eg confirmation of benefits) (Dated within last 12 months)

Home address evidence upload:*

I authorise the Council to make any enquiries necessary to verify any information needed to determine my/our application. The information provided in this application may also be shared with colleagues in other departments or other business support organisations.*

I declare that all the information given on the form is correct, to the best of my knowledge, and that the giving of a false declaration may result in action by the Council against the signatory for recovery of the grant plus costs, charges and expenses relating thereto.*

I confirm that I have full power and authority to act on behalf of the business/organisation that is making this application.*

I have read and accept the guidance note for applicants which accompanied this form.*

I have read and accept the State Aid Declaration.*

I agree that BCBC have the right to publicise any project supported by this scheme and to withdraw or reclaim grant monies if the above conditions are not met.*

Data Protection

For the purpose of the General Data Protection Regulations (GDPR) the “controller” of the personal data you provide in this form is Bridgend County Borough Council of Angel Street, Bridgend, CF31 4WB. BCBC is registered with the Information Commissioner’s Office.
The information you provide may be shared with colleagues in other departments or other business support organisations.
The information will be held electronically and also in paper files for the sole purpose of administering the grant scheme.
We will retain your data for 7 years and in accordance with the Council’s Data Retention Policy.
Information provided to the Council will be processed on the basis of your consent. As a data subject you have a number of rights under GDPR.
If you are unsatisfied with the manner in which we collect or handle your personal data you have a right to make a complaint to the Information Commissioner’s Office.

Name*

Position in Company*

Date*

Signed

Any information provided will be treated in the strictest confidence but may be stored on computer and is therefore subject to the provisions of the General Data Protection Regulations (GDPR) 2018