MLA Donor Company (MDC) Project Application Form
Version changes (Update whenever proposal is changed)
Date last updated
Person
Comment
Initial proposal
1.
Project code (Assigned by MLA)
2.
Project title
3.
Applicant/funding organisation details
Organisation name:
ABN:
Street address:
Postal address:
Project leader
Name:
Admin contact
Name:
Phone:
Phone:
Fax:
Fax:
Mobile:
Mobile:
Email:
Email:
4.
Project description
Brief summary of project. No more than 250 words. Provides purpose/description of project.
Confidential
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Form: 25/08/10
5.
Background/previous research & development
Define the problem or opportunity that this project is aiming to address. Following are samples of questions to address:
 How has the project ‘come about’?
 What currently happens and why does it need changing?
 What alternatives have been investigated or are available? What happens in other industries?
 Experimentation/investigation work to date
 Amounts spent on previous projects or research (with or without MLA funding)
6.
Project outputs/outcomes
List the outputs/outcomes of this project, distinguishing these from the outcomes from any further research and development after this project.
7.
Value proposition and benefits to the Australian red meat industry
Describe the value proposition and benefits to the Australian red meat industry assuming a successful outcome of this project. Indicate how these were or
will be calculated.
8.
Further research, adoption and/or commercialisation strategy
How the project outcomes might be disseminated or commercialised for benefit of the Red Meat Industry and/or adoption by other companies.
Where next after this project?
9.
Project and Background Intellectual Property (IP)
List Intellectual Property anticipated to arise from the project, and expected ownership of this project IP.
List any relevant Background IP and its ownership that will be required for the project.
10.
Source of funds (The source of funds total must match the expenditure and milestones totals, including project administration fee)
Project admin fee
Funding
Contribution
Total
8 or 12%
Funding organisation
Funding type
%
AUD (ex GST)
AUD (ex GST)
AUD (ex GST)
Aust/International
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Form: 25/08/10
AMPC
PIP
MLA
Commonwealth
100%
TOTAL
11.
Service providers (May include the funding partner)
Organisation name
ABN
Contracted by
Project contact
Phone
12.
Expenditure of funds by service providers (All amounts are GST exclusive and do not include project administration fees)
3rd party or
Service
Salaries,
Capital2
Milestones
subcontractor
Expenses AUD1
Total AUD
Provider
wages
AUD
fees
Notes
Travel
–
Material
–
Consumables –
Other
–
Travel
–
Material
–
Consumables –
Other
–
Travel
–
Material
–
Consumables –
Other
–
Sub-Total
Admin fees
Total
13.
Milestones and budget (All amounts are GST exclusive. Separate schedules should be created for each service provider. Payment subject to receipt of
your Company’s contributions, completion of milestone to MLA’s satisfaction and receipt of tax invoice and supporting
documents as required by MLA)
No
1
2
Milestones
Start date
Finish
date
Service
provider
Salaries,
wages, 3rd
Expenses
Capital
Total
AUD
Refer to ‘How to complete the Project Application Form’ for an explanation of expenses.
All capital must be itemised in the capital assets table below. These items will be depreciated.
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Form: 25/08/10
party fees
1
2
3
4
5
6
Sub-Total
Project administration fees??%
Total
14.
Capital assets (List the capital assets to be purchased with project funds and the ex GST value of each of these items. Assets will be depreciated at
standard Australian Tax Office depreciation rates. Final buy back price will be calculated at the completion of the project)
Description
Purchase
cost AUD
Total
Confidential
Depreciation
rate
Est months
depreciation
Est depreciated
value AUD
AUD
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Form: 25/08/10
MLA INTERNAL USE ONLY
1.
MLA proposer/project manager
MLA manager proposing project
MLA project manager responsible for project
2.
MLA proposer additional comments (Add comments if not covered in proposal)
3.
Other BU comments & sign-off (Use this only the this project needs input or sign off from other business unit managers)
By:
4.
Dated:
Commercialisation/IP comments & sign-off (All projects need to be signed off by the commercialisation group. Comments will be added only if
not already covered in proposal)
By:
5.
Dated:
LG mentor additional comments & sign-off (In CIS, all projects must be sponsored and signed off by a LG member)
By:
6.
Dated:
MLA AOP strategy objective (4 digits e.g. 3.2.1.1)
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Form: 25/08/10
MLA INTERNAL USE ONLY
7.
MDC AOP program area (PF 2.3 Developing new products, PG 3.1 Increasing productivity - on farm, PH 3.2 Increasing productivity - off farm,
PJ 3.4 Improving animal health and bio-security, PN 5.1 Increasing adoption of innovation, PO 5.2 Working with industry
to attract and retain appropriately skilled people, PP 5.3 Building industry innovation capability, PX Individual projects)
8.
MLA R&D category (Choose from Strategic basic research, Strategic applied research, Experimental development, Adoption & commercialisation
or Capability building)
9.
Board summary (Required for all projects. Maximum of 10-15 lines summarised from the project description)
Confidential
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Form: 25/08/10