CALL 2: Expression of Interest: Driving Technology Commercialisation Need help? Contact nelisha@sarima.co.za A DST-SARIMA project to profile publicly-funded technologies and drive them towards commercialisation. Notes: - PLEASE READ THE CALL CAREFULLY AS WELL AS THE NOTES FOR EACH CATEGORY ON THIS APPLICATION FORM - Each company or institution may only apply ONCE in each category - You must complete a new application form for each category - When answering any open-ended questions, please provide enough detail for us to understand your technology, what you have done, what you plan to do, etc., but not pages and pages! A paragraph is more than sufficient - about 250 words or so. - Please do not send us additional information as attachments or make reference to attachments in this form: they will NOT be considered. * 1. Applicant information Institution / Company: Office name / Department: Title (Prof/Dr/Mr/Ms): Name: Surname: Email address: Contact Number: * 2. Category for this application * 3. Title of technology related to this application 1
* 4. Brief description of technology (approximately 250 words) * 5. TRL level (must be at Level 4 or higher) CHOOSE ONE LEVEL ONLY TRL 4: Technology validated in lab: Test results confirm design and meet technical performance. Hypothesis refined. Formulations tested. TRL 5: Technology validated in relevant environment: Validation under relevant operational conditions, could be mimicked in the laboratory. TRL 6: Technology demonstrated in relevant environment: Prototype demonstration in the operational environment. TRL 7: System prototype demonstration in operational environment: Integrated full scale pilot systems demonstrated in an operational environment or site. TRL 8: System complete and qualified: Actual product completed and qualified through certification, tests and demonstrations. TRL 9: Actual system proven in operational environment: Product proven ready through successful operations in operating environment. Evidence for TRL level chosen * 6. How does your technology meet a commercial and/or social need? 2
* 7. Did you exhibit this technology at IB2017? Yes No * 8. Is your technology showcased on the Innovation Bridge portal? NOTES: (a) this a hurdle criterion so if your technology is NOT on the Innovation Bridge portal when being reviewed, your application WILL NOT BE CONSIDERED; (b) however, you can register your technology on the portal before submission; (c) PLEASE CHECK THAT YOUR TECHNOLOGY IS ON AND IS VISIBLE on an easy search - this is checked by the reviewers. Yes Not yet - I am busy registering it * 9. Please describe any marketing activities already undertaken for this technology e.g. events, portals, engagement with companies, etc. * 10. Please tell us about any existing marketing materials, prototypes, etc. you have created for this technology. 3
* 11. Please provide evidence of market potential - for example, have you had any market interest from players, or have you done a market analysis? Please provide brief detail. 4
CALL 2: Expression of Interest: Driving Technology Commercialisation Application for Category 1: Local Profiling This page is to apply for motivation for attendance at a local conference, trade show or exhibition that will enable showcasing of the technology to accelerate the commercialisation process. NOTES: - The event must take place before 31 December 2019 - This funding is NOT for research and development activities - This funding is NOT for academic conferences - If you are planning on attending an event but not formally exhibiting, you need to provide a VERY good rationale for doing so - A small amount of funding can be allocated towards prototype development FOR THE EVENT but not for general development activities * 12. Details of local conference, trade show or exhibition Name of event: Location: Dates: Organiser: Website for event: Audience for event: * 13. Motivation: why this event? 5
* 14. What do you hope to achieve by exhibiting at this event? * 15. If your application is not successful, how do you plan to drive this technology towards commercialisation? 6
* 16. Budget description Please DESCRIBE the costs here, e.g. 2 x economy class flights from Johannesburg to Cape Town. Do not put actual estimated costs in here. Event fees Flight costs (economy class flights only) S&T costs (SARS rates; depending on what is provided at the hotel, this should be reduced) Accommodation costs (3 star hotels) Other local travel costs (e.g. car hire, trains) Marketing materials Refinement of prototypes Stand costs Coaching support Other 1 (specify) Other 2 (specify) Other 3 (specify) Other 4 (specify) 7
* 17. Estimated budget (in Rands, VAT inclusive) Event fees Flight costs S&T costs Accommodation Other local travel costs Marketing materials Refinement of prototypes Stand costs Coaching support Other 1 Other 2 Other 3 Other 4 TOTAL ESTIMATED BUDGET (including VAT) * 18. Have you received funding from any other source to develop prototypes or profile at any event? If so, please provide detail of funding and for what it was used. 19. Add in any other information you want us to know (e.g. more budget detail, more information about the event, etc.) 8
CALL 2: Expression of Interest: Driving Technology Commercialisation Application for Category 2: International Profiling This page is to apply for motivation for attendance at an international conference, trade show or exhibition that will enable showcasing of the technology/business to accelerate the commercialisation process. NOTES: - The event must take place before 31 December 2019 - This funding is NOT for research and development activities - This funding is NOT for academic conferences - If you are planning on attending an event but not formally exhibiting, you need to provide a VERY good rationale for doing so - A small amount of funding can be allocated towards prototype development FOR THE EVENT but not for general development activities * 20. Details of international conference, trade show or exhibition Name of event: Location: Dates: Organiser: Website for event: Audience for event: * 21. Motivation: why this event? 9
* 22. What do you hope to achieve by exhibiting at this event? * 23. Why can't you exhibit locally? Why internationally? * 24. If your application is not successful, how do you plan to drive this technology towards commercialisation? 10
* 25. Budget description Please DESCRIBE the costs here, e.g. 2 x economy class flights from Johannesburg to Accra. Do not put actual estimated costs in here. Event fees Flight costs (economy class flights only) S&T costs (SARS rates; depending on what is provided at the hotel, this should be reduced) Accommodation costs (3 star hotels) Other local travel costs (e.g. car hire, trains) Marketing materials Refinement of prototypes Stand costs Coaching support Other 1 (specify) Other 2 (specify) Other 3 (specify) Other 4 (specify) 11
* 26. Estimated budget (in Rands, VAT inclusive) Event fees Flight costs S&T costs Accommodation Other local travel costs Marketing materials Refinement of prototypes Stand costs Coaching support Other 1 Other 2 Other 3 Other 4 TOTAL ESTIMATED BUDGET (including VAT) 27. Add in any other information you want us to know (e.g. more budget detail, more information about the event, etc.) * 28. Have you received funding from any other source to develop prototypes or profile at any event? If so, please provide detail of funding and for what it was used. 12
CALL 2: Expression of Interest: Driving Technology Commercialisation Application for Category 3: Commercialisation Stewardship This page is to apply for motivation for financial support for an external, independent consultant/expert to assist in accelerating the technology commercialisation process for a specific technology. NOTES: - This is for a consultant/expert to ASSIST you to drive your technology towards commercialisation in other words, to mentor/guide you or to provide more detailed market knowledge etc. - This funding is NOT for hiring additional staff or to replace you because you don't have time to do the work - The consultant/expert should not be a generalist (i.e. just a business expert who can write a business plan but doesn't know anything about the field) - You are expected to have identified the consultant/expert and the work must be done before 31 December 2019. * 29. What hurdles are you encountering in progressing your technology towards commercialisation? * 30. How will the commercialisation stewardship engagement assist in overcoming these hurdles? 13
* 31. Proposed scope of activities for the consulting engagement * 32. Proposed deliverables for the consulting engagement * 33. Required skillset and experience of the consultant * 34. External, independent consultant/expert whom you have identified (name, expertise, what you believe they are the right person, etc.) 14
* 35. Budget: add in brief detail and estimated cost including VAT Consulting fees (including estimated rate and duration) Travel costs Other 1 (specify) Other 2 (specify) Other 3 (specify) Other 4 (specify) Other 5 (specify) TOTAL ESTIMATED BUDGET (including VAT) 36. Add in any other information you want us to know (e.g. more budget detail, more information, etc.) 15