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DBS Foundation Grant Programme – Social Enterprise CategoryApplication Form TemplatePlease note that the purpose of this document is to prepare applicants for the grant application. Applicantsshall not use this Form Template for submission. Application to the Grant Programme will only be acceptedvia the online form.Bef ore you begin this f orm, here are some important inf ormation and tips to know: Be sure to read the eligibility and evaluation criteria.Organise your responses of f line and save a separate working copy f or your own record bef ore loadinganswers to the f orm online.Set aside uninterrupted time of 30 minutes to complete.Only online submission will be taken as f inal. Submission via other means will not be considered .Only one application will be accepted per entity .If multiple applications are submitted f or the same entity, only the most recent submission will beconsidered bef ore the closing date.For best user experience, please use a laptop or a desktop instead of a mobile phone.Important materials to have in hand: Latest f inancial statements (2020, 2021)Company pitch deckVideosContact InformationFirst NameLast NameDesignatione.g. f ounder, chief operatingof f icer, etc.Email addressPhone NumberCountry Code (e.g. 65)Mobile NumberHave you applied before? YesNoIf ‘Yes’ is selectedPlease select year of previous application 2021 2020 2019 2018 2017 2016 2015DBS Foundation Social Enterprise Grant ProgrammeVersion 202203071
How did you hear about thisprogramme?Choose an Option DBS emailer DBS social media channels DBS events / website Social enterprise network / Start-up network (state name ofnetwork) Word of mouth Online search Others (specif y below)If ‘Social enterprise network / Start-up network’ is selectedPlease state which networkIf ‘Others’ is selectedPlease state how did you hear about this programmeAbout your companyRegistered business nameIndicate business name in Englishas per of f icial registrationdocumentRegistered business name(Local Language)Optional f ield to indicate locallanguage business name as perof f icial registrationBusiness registration numberCompany registration number asper of f icial registration document.Registered address of thecompanyDate of incorporationType of legal entityChoose an Option Limited Liability Company Partnership Private Limited Sole Proprietorship Charity / Non-prof it Organisation OthersIf ‘Others’ is selectedPlease specif yPlace of incorporationPlease select country ofincorporation according to of ficialbusiness registration documents.Choose an Option (Only one answer allowed) China Hong Kong India Indonesia Singapore Taiwan OthersIf ‘Others’ is selectedDBS Foundation Social Enterprise Grant ProgrammeVersion 202203072
Please specif yPlace of operationsChoose an Option (multiple answers allowed) China Hong Kong India Indonesia Singapore Taiwan OthersIf ‘Others’ is selectedPlease specif yIndustryChoose an Option Agriculture Arts, Culture & Entertainment Education Energy & Power Environment & Waste Management Food & Beverage Financial Services General Consultancy Healthcare & Social Services Housing & Accommodation Inf ormation & Communications Manuf acturing Materials & Packaging Retail & Consumer Goods Supply Chain, Logistics & Trading Technology Tourism Services Transportation & Automotives Water Supply OthersIf ‘Others’ is selectedPlease specif yIs your business subject to anyethics or regulatory approvalrequirements? YesNoIs your business currentlyusing or plan to use any IP orlicences from third parties? YesNoCompany website (if any)Social media handles (FB, IG,LI, WeChat)DBS Foundation Social Enterprise Grant ProgrammeVersion 202203073
Additional information (if any) Certif ied B CorporationAccredited by social enterprise accreditation body (e.g. raiSECentre f or Social Enterprise in Singapore)Completed incubator / accelerator programme(s)Current DBS Corporate Banking clientIf ‘Accredited by social enterprise body’ and/or ‘Completed incubator /accelerator programme(s)’ is/are selectedState details on accreditation body and incubator / acceleratorprogramme(s)About your social / environmental impactDescribe your social /environment impact conciselySelect your area of impactChoose Options (multiple answers allowed)Creating impact through Reducing carbon f ootprint Reducing, reusing, recycling electronic waste Reducing, reusing, recycling f ood waste Reducing, reusing, recycling municipal waste Reducing, reusing, recycling plastic waste Providing access to clean water Providing access to education Providing access to employment Providing access to healthcare Providing access to sanitation Providing access to f ood and nutrition Sustainable agriculture OthersImproving lives of (multiple answers allowed) Children Elderly Ex-of f enders Low-income groups Migrant workers People with disabilities and special needs Rural communities Smallholder f armers Women Youth OthersWhat are the social /environmental outcomes thatyou have achieved in 2021A. If the applicant selects Reducing Carbon Footprint, the f ollowingquestion will be asked: Amount of greenhouse gas emissions reduced (in metric ton)B. If the applicant selects any of the f ollowing (Reducing, reusing andrecycling Electronic Waste, Food Waste, Municipal and PlasticWaste), the f ollowing questions will be asked: Amount of waste reduced (in metric ton)DBS Foundation Social Enterprise Grant ProgrammeVersion 202203074
Number of persons reached by waste reducing, reusing andrecycling initiativesC. If the applicant selects Providing access to Clean Water, thef ollowing questions will be asked: Number of clean water f acilities or services provided Number of persons provided with clean water f acilities,services or productsD. If the applicant selects Providing access to Education, thef ollowing questions will be asked: Number of education or training opportunities created Number of persons provided with education or trainingopportunitiesE. If the applicant selects Providing access to Employment, thef ollowing questions will be asked: Number of employment opportunities created Number of persons provided with employment opportunitiesF. If the applicant selects Providing access to Healthcare, thef ollowing questions will be asked: Number of healthcare or social care f acilities, services orproducts provided Number of persons provided with healthcare or social caref acilities, services or productsG. If the applicant selects Providing access to Sanitation, thef ollowing questions will be asked: Number of proper sanitation f acilities or services provided Number of persons provided with proper sanitation f acilities orservicesH. If the applicant selects Providing access to Food and Nutrition,the f ollowing questions will be asked: Number of f ood and nutritional programmes and servicesprovided Number of meals provided by the programmes and services Number of persons provided with f ood and nutritionalprogrammes and servicesI. If the applicant selects Sustainable Agriculture, the f ollowingquestions will be asked Number of programmes, services or products related tosustainable agriculture provided Number of stakeholders (smallholder f armers, input suppliers,f armer cooperatives, processors, etc.) benef iting f romprogrammes, services or products related to sustainableagricultureAbout your businessWhat is your business about? Include details on businessmodel, product/service of fering,customer segments, uniqueproposition, target market size,impact f ocus and outcomes,etc.DBS Foundation Social Enterprise Grant ProgrammeVersion 202203075
How is your product/servicedif f erentiated f rom others? Who are your competitors?How does your businessaddress the social and/orenvironment issues and createimpact?Current stage of businessChoose an Option Ideation Prototype Revenue making EBITDA breakeven Prof it makingWho are the core teammembers of the company?Insert LinkedIn prof ile URLsProposal for the use of grantState the grant amount you areapplying forGrant amount must be inSingapore dollars and must notexceed SGD 250,000The grant will be used toincrease capability or capacityin:Elaborate from above, how willthe grant be used to supportyour desired social /environmental impact?Choose Options (multiple answers allowed) Advocacy and community engagementBranding and marketingCapital or Fund raisingCustomer acquisition and business developmentFinancial managementImpact monitoring and evaluationIntellectual assets and knowledge managementMarket expansionManuf acturing and productionOperational and logistical ef ficiencyProduct / service development and innovationSocial impact programmesTalent acquisition and retention, inclusive employmentTraining on knowledge and skillsTechnology and digital platf ormOthers What social / environmental impact will be achieved over the 2years?At what level will the impact be achieved? Is it at the systemiclevel where policies, processes, structures are changed orcommunity level where the needs of the individuals or acommunity are met? Please provide details.What are the key milestones and outcomes over the 2 years?How will the grant be allocated and used to achieve theimpact?How will the impact be scaled/sustained af ter 2 years? DBS Foundation Social Enterprise Grant ProgrammeVersion 202203076
How will the grant be used tosupport your desired businessgrowth? What are the people andpartnership outcomes you wantto achieve in 2 years?Submit your pitch deckUpload PDF ( 4MB)You may download the pitch decktemplate as a guide f or preparingyour presentation. Only PDFf ormat smaller than 4 MB in sizeis accepted.Introduction VideosVideos will help us to understandwhat you are doing better. Youmay submit video links about yourbusiness, products or give a oneminute introduction about yourselfWhat business growth outcomes will be achieved over the 2years?What are the growth areas f or your business? Is it in revenue,productivity, market expansion, number of persons you workedwith or served, number of services or products, etc. Pleaseprovide details.What are the key milestones and outcomes over the 2 years?How will the grant be allocated and used to achieve businessgrowth?How will the business growth be scaled/sustained af ter 2years? Number of current f ull-time employees hired Number of current part-time / temporary employees hired Number of new f ull-time employment opportunities that would becreated if the grant was awarded Number of new part-time / temporary employment opportunitiesthat would be created if the grant was awarded Number of current partners / collaborators Number of new partners / collaborators that would be established ifthe grant was awardedInf ormation f or preparing a good pitch deck(1) About the business and propositionWhat is your business model, what is your product/service offering,who are your customers, what is your unique proposition, who isyour target market, what is the market size?(2) Social and/or environmental impact areaWhat is the social/environment problem you are trying to solve, andhow will your solution solve the problem?(3) Competitive landscapeHow is your product/service differentiated from others, who are yourcompetitors?(4) Strategy & scale up plansWhat are your plans to scale up over 2 years, what is your past andprojected financials, what are your target business and impactoutcomes? What is the basis of your outlook?(5) Track record & achievementsHave you raised any funds, are there awards won?(6) About the team and structureWho forms your management and core team, do you have anyadvisors or investors, what are their experience and track record?What is the organisation structure?(7) Use of grantHow do you plan to use the grant to achieve your business growth(tying back to your scale up plans) and social / environmentalimpact? What are the key outcomes and milestones you want toachieve over the next 2 years?Video URL 1Video URL 2Video URL 3DBS Foundation Social Enterprise Grant ProgrammeVersion 202203077
and why you are applying f or thegrantFinancialsHas the business received anyfinancial awards, bank loans, orinvestments?Examples include prize monies,grants, VC investments,philanthropic donations, workingcapital loans, etc.Indicate relevant financial year2021 Annual FinancialStatementsUpload f ile ( 4MB)2022 Annual FinancialStatementsUpload f ile ( 4MB) YesNoIf ‘Yes’ is selectedPlease provide details on: Source of f unds, Amount (SGD), Date thatf unds were receivedChoose an Option 2021 2020 2019*Mandatory f ield**Mandatory f ield*DeclarationI/We declare that all the f acts stated in this f orm and the accompanying inf ormation is true and correct tothe best of our knowledge and that we have not withheld/distorted any material f acts.declare that I/we do not have any political or religious agenda and/or af f iliations.represent, warrant and undertake that our submission of the proposal set out herein is compliant toapplicable laws and will not result in a breach of any agreement(s) with any third party and/or inf ringeany third party’s right(s).understand that if we obtain f unding by f alse/misleading statements/partial disclosure not in line withthe f unding intent, DBS Foundation reserves the right to immediately withdraw the grant and recoverf rom our organisation any amount of the f unding the f ull amount of f unds that DBS Foundation mayhave disbursed to us.am/are willing to provide any additional supporting documentation and/or evidence that may berequired to verif y the inf ormation provided aboveherein.understand that this is an application to be assessed f or possib le f unding by DBS Foundation andI/We consent to the use and processing of inf ormation provided herein f or said purpose, including butnot limited to sharing of such inf ormation within DBS Foundation and/or DBS Bank Ltd. Some of theinf ormation provided in the document could be sensitive and shall remain conf idential unless I/weagree to its release.agree that DBS Foundation retains f ull discretion in deciding which organisation or project it wishes toaward grant toward and its reasons f or doing so.By submitting this f orm and subsequent related articles, pictures and/or videos to DBS Foundation, I/wehereby give consent to DBS Foundation f or the purpose of collection, use and disclosure of the Applicant’spersonal data f or the Grant application. I/We have read and understood the terms and conditions of the application.DBS Foundation Social Enterprise Grant ProgrammeVersion 202203078
Additional Declaration for entities incorporated in India ONLY.Foreign Contribution Regulation Act (FCRA)Is the entity applying f or this grant FCRA registeredor in the process of registering f or FCRA? Yes. Please provide proof of FCRA registrationIs the prof itability of entity applying f or this grantdependent solely on the sales revenue and not onaccount of the income receivable by way of grantsand/or awards? YesDoes the entity applying f or this grant have adef inite cultural, economic, educational, religiousor social (“CEERS”) programme? YesWill this grant be used towards f unding any otherpersons and/or entities which require FCRAregistration or approval? Yesas a supporting document. No. Please answer the f ollowing questions. No No NoEND OF APPLICATION FORMDBS Foundation Social Enterprise Grant ProgrammeVersion 202203079
DBS Foundation Social Enterprise Grant Programme 1 Version 20220307 DBS Foundation Grant Programme - Social Enterprise Category Application Form Template Please note that the purpose of this document is to prepare applicants for the grant application. Applicants shall not use this Form Template for submission.
