Bioeconomy Transformation Programme (BTP) Pre-Application Form
Part 1. Applicant / Company Background
Name of Applicant *
Your answer
Has any company been incorporated? *
If "Yes", please provide Company Name
Your answer
Date of Incorporation
MM
/
DD
/
YYYY
Equity Participation
%Malaysian
Your answer
Equity Participation
% Foreign
Your answer
Please state revenues from most recent financial report
Your answer
Part 2. Proposed Bioeconomy Project
Bioeconomy Sector (please tick all that apply) *
Required
Proposed Project Title
Your answer
Objectives
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Proposed Project Description (please describe in max 2000 words)
Your answer
Proposed Project Details (please describe in max 2000 words)
Your answer
Impact
a) Estimated Total Investment by 2020
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b) Estimated Total Employment by 2020
Your answer
c) Estimated Total Skilled Employment by 2020
Your answer
d) Estimated GNI Contribution in 2020
Your answer
e) Estimated Cumulative GNI by 2020
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Proposed Owner(s)
Your answer
Part 3. Investment Requirements
TOTAL INVESTMENT AMOUNT
Your answer
A) PUBLIC INVESTMENT REQUIREMENT
Amount
Your answer
Description and Breakdown
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Source of investment
Your answer
B) PRIVATE INVESTMENT REQUIREMENT
Amount
Your answer
Description and Breakdown
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Source of investment
Your answer
Part 4. Applicant / Company Contact Information
Title *
Your answer
Full Name *
Your answer
Designation *
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Address *
Street
Your answer
*
City
Your answer
*
Postcode
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*
State
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*
Country
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Website (If any)
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Contact Details *
Office
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Fax
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Mobile
Your answer
*
Email
Your answer
Submission Date
MM
/
DD
/
YYYY
Part 5. Verification
Disclaimer *
I,hereby declare that all information provided & submitted to Malaysian Biotechnology Corporation is true and correct at the point of submission.
Required
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