fre export company status datasheet

FRE EXPORT
COMPANY STATUS
DATASHEET
COMPANY NAME:
Révision : 21/03/11
Impression : 17/11/11
File received by :
File processed by:
FRE EXPORT COMPANY STATUS
DATASHEET
I- IDENTIFICATION OF COMPANY
1- Company name:
2- NINEA :………………… RC :………………….
3- Name and Surname(s) of Manager:
4- Head Office ……… ………………………………………………………………………………
Tel……………………..…Fax…………………..……Email…………………………
5- Address abroad (for Senegalese abroad)
City: …………………… Country :…………………………………………………..
Tel :…….………………….Fax ………………………. Email ………………………..
6- Business Purpose:
7- Production site (exact address):
8- Legal nature: PLC
9- Number of employees :
LLC
SUP
permanent
EIG
Others
temporary
10- Corporate capital (CFA F) ……………………………………………………………………
Local Capital (CFA F) ……………………………………………………………………..
Foreign Capital (CFA F) ……………………………………………………………………..
Origin ………………………………………………………………
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II.ELEMENTS OF THE PROJECT FEASIBILITY STUDY
1- Investment:
1.1 Business sector: ……………………………………………………………
1.2 Type of application: ………………………………………………………..
Creation
Relocation
Change of Status
2 – Project Site:
Is the project site your disposal?
Yes
No
If yes:
What is its surface area?
……………………………………………………………………………………..
What type of occupancy right does it have?
……………………………………………………………………………………..
If not:
What is the surface area of the land ?
……………………………………………………………………………………..
What did you do to obtain
land?
……………………………..………………………………………………………
3 –Multinational Company
Are you a subsidiary of a multinational company?
Yes
No
If yes, state the name of the multinational and its line of activity
…………………………………………………………………………………………………………………
……………………………………………………………………………………………
Headquarters of the multinational
Exact address
Tel :…….…………………. ………………………. …………………....…Fax ……………………….
Email ………………………..
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4- Project cost and funding arrangement:
- Initial installation cost: …………………………….……………………CFA F
- Land: …………………………….……………………CFA F
- Amenities …………………………….……………………CFA F
- Buildings ............. …………………………….……………………CFA F
- Production equipment …………………………….……………………CFA F
- Transportation equipment: …………………………….……………………CFA F
- Working capital need …………………………….……………………CFA F
- Others: …………………………….……………………CFA F
TOTAL …………………………….……………………CFA F
4.1 Financing Plan:
- Investments : …………………………….……………………CFA F
- Equity capital : …………………………….……………………CFA F
- Loan(s) …………………………….……………………CFA F
5- Market Estimation:
5.1 Foreign market:
Target countries with specific information about the demand
(Companies, customers, etc.…) : …………………………….……………………………
…………………………….……………………………………………………………
Customer portfolio, in case of relocation: …………………………….
…………………………….……………………………………………………………
Turnover:
Year 1 : …………………………….……………………CFA F
Year 2 : …………………………………………………………………….
5.2 Domestic market:
Turnover, year 1 : …….…………………………………………..CFA F
Turnover, year 2 : …….…………………………………………..CFA F
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5.3 Installed capacity: ……………..…….………………………………………..
III. ELEMENTS OF THE TECHNICAL STUDY
6.1 Proposed products:
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
6.2 Imported inputs and packaging
Products
Tarif
Heading
Year 1 :
Origin
Quantity
Value (millions)
Year 2 :
Quantity
Value (millions)
6.3 Key phases of the production process:
…………………………………………………………………………………………..
…………………………………………………………………………………………..
…………………………………………………………………………………………..
…………………………………………………………………………………………..
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7- Provisional operating account (2 years) :
DESIGNATION
YEAR 1 :
YEAR 2 :
Turnover :
Intermediate consumption
Other operating expenditure
Added value
Salaries and social security contributions
Depreciation charges
Financial costs
Gross operating result
Income tax
Net profit
Cash flow
8 – Jobs to be created:
QUALIFICATIONS
WAGE BILL (millions of
CFAF/annum)
WORKFORCE
Local
Other
Total
Local
Other
Total
Senior management
Higher technicians and mid-level
managers
Technicians and supervisors
Employees, skilled workers and
apprentices
TOTAL PERMANENT
EMPLOYEES
Seasonal workers
Specify the nationality for foreign staff : ………………………………………
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Number of jobs created: ……………………………………………………………………
Done in
, on
Name and title
Signature
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PROJECT SHEET
COMPANY NAME
LEGAL STATUS (PLC,LLC, SURL, PP, EIG etc.)
TYPE OF AUTHORIZATION (Investment Code or Free
Export Company)
DATE OF SUBMISSION
PROMOTER’S PROFILE
NAME OF MANAGER(S)
POSITION (Manager / Director General / Administrator etc.)
SENEGALESE ABROAD
ADDRESS ABROAD
NATIONALITY (if promoter if a foreigner)
PAST ACTIVITIES
CURRENT ACTIVITIES
PARTNERS
PROJECT
TYPE OF INVESTMENT (creation/extension etc.)
AMOUNT OF INVESTMENT
MAJOR INVESTMENTS
(fixed operating equipment/constructions etc.)
Equity capital : ............%
FINANCING SOURCE
Loans : ....................%
State the origin of loans……………………………………………
BUSINESS SECTOR
START-UP DATE
PROPOSED PRODUCTS/ SERVICES
TARGET MARKET(S)
Number of permanent jobs projected for the
project :……………
Number of jobs created at the project start-up
(nationals and foreigners) :
JOBS
If the required number of jobs cannot be attained at the
start-up, what is the reason?
Insufficient financial resources
Required skills difficult to find
Extension not requiring job creation
Others:
Explain:………………………………………………………
…………………………………………………………………
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CLASSIFICATION OF JOBS
Senior management
Higher technicians and mid-level managers
Technicians and supervisors
Employees, skilled workers and apprentices
Seasonal workers
PRODUCTION SITE LOCATION
Project motivations and opportunities:
CONTACT DETAILS
Head Office Address
Fixed Telephone:
Cell:
Fax :
Email :
Web site
APIX REGIONAL REPRESENTATIONS
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-
APIX SAINT LOUIS
o Soda DIOP BA
APIX Regional Representative Saint Louis
CNCAS, Quai Henri Jay, Sud
Saint-Louis
Tel : 33 961 14 14 / 33 961 14 05
Fax : 33 961 23 73
[email protected]
-
APIX ZIGUINCHOR
o Pape AMAR
APIX Regional Representative Ziguinchor
CNCAS, Rue du Commerce
Tel : 33 991 66 13 / 33 991 10 01
Fax : 33 991 19 56
[email protected]
-
APIX TOUBA
o Bintou DIAGNE
APIX Regional Representative Touba
CNCAS, Touba Khaïra, route 28, rue de la Grande Mosquée
Tel: 33 978 34 88
Fax: 33 978 34 89
[email protected]
-
APIX KAOLACK
o Mamadou SOW
APIX Regional Representative Kaolack
CNCAS, 4 Place de l’Indépendance
Tel: 33 942 24 25
Fax: 33 942 24 26
[email protected]
-
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