| FIELDS MARKED WITH * ARE REQUIRED! |
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| Business Name:* |
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| ABN:* |
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| Street Address:* |
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| Postal Address: |
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| Postcode:* |
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| Phone:* |
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| Fax: |
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| Email: |
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| Web: |
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| Principal Contact Person:* |
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| Title:* |
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| Second Contact Person: |
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| Title: |
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| Date when the business was established: |
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| Opening Hours |
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| Monday: |
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| Tuesday: |
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| Wednesday: |
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| Thursday: |
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| Friday: |
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| Saturday: |
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| Sunday: |
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| Business Ownership/Business Structure* |
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Business Sector*
(Select all that are appropriate,
by holding down the
Ctrl key when selecting Sectors.) |
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| List any other Sectors: |
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Business Description
(Details of operation, services/products offered, capability/capacity,
specialist machinery/skills employed, competitive advantage)
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Markets Serviced*
(Select all that are appropriate,
by holding down the
Ctrl key when selecting Markets.) |
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Exports Summary: (if applicable)
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| Major commodities/products exported: |
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| Destinations of exported products: |
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| Are major imports required for the business? |
Yes No
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| If yes what type of imports? |
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| Employee Numbers* Number of full time equivalents (where
possible) |
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| Seasonal workers? |
Yes No
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| If yes, what number? |
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| Relevant months (from-to)? |
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| Research and Innovation Is the business undertaking
research and development? |
Yes No
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| If yes, does the research involve a third party? |
Yes No (research organisation, university, industry body)
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