GREEN Tech4CE Call II

CONCEPT NOTE APPLICATION GUIDELINES

This template is designed to assist applicants in preparing the text and figures they need ahead
of completing the on-line application form. Concept notes will only be accepted via the
application platform.

Applicants are required to provide all the information requested below, failure to which the
application will be deemed nonresponsive.

Core Information – Minimum Qualification Criteria (Please tick)

Zambian companies limited by guarantee or shares meeting one of the following
shareholding structures:
a) Minimum 50% Zambian citizen-owned business.
b) Businesses at least 50% owned by residents whose origins are in the European
Union or SADC whose tenure of residence in Zambia is at least twenty (20) years.
c) Businesses with European Union or SADC majority shareholding with a
minimum Zambian shareholding of 20%
d) A Joint Venture between a Zambian registered company and EU company
Is the business compliant with all national and local laws and regulations; including
meeting all obligations relating to the payment of taxes and social security contribution
and relevant health and safety and environmental standards?
Can the business co-fund at least 50% of the project cost for the activities proposed in
the Concept Note through its own funds or credit access?
Has the business turnover from commercial activity been at least EUR 350,000 in one
of the last 3 years?
Does the business have 3 years financial records with audited financial statements for
at least 2 of the last 3 years?

Tab 1: Business Details (Please tick and attach the required documentation)
A. Applicant

Business Name

Type of Registration

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 ZRA Tax
Year of ZRA PIN
Compliance
Registration Number
Certificate
Business NAPSA Workers’
NHIMA
Registration Compliance Compensation
Certificate
No.* Certificate Certificate
Physical
Address/Office
Location
Phone (include
Email Address
country code)

Website

Name
Email
Contact Person Address
Phone
Number
Primary position in the
Sector
value chain
Market/prospective
Years of Business
market demand for
Operation
products and services

Tab 2: Business Related Information

a) Business Description
i) Provide a brief description of your business profile (in 300 words) detailing, core
activities, products and services, innovations, market demand, growth pattern.

ii) How are you currently working with small value actors? (i.e. micro and small
enterprises such as aggregators, waste pickers, artisans, artisanal and small miners, both
formal and informal) of your value chain?
(in a maximum of 400 words describe the services and activities the business is providing to
and/or engaging small value chain actors)

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b) Business Ownership (In a maximum of 300 words, describe the ownership structure of
the business and subsidiaries (if applicable)

c). Management (in a maximum of 300 words, describe the management and governance
processes of the business, qualifications and gender of key governance and management
staff structures).

d) Financial History in Euro (Provide details of your financial position for the last three years
– Last 2 year Audited Financials plus Latest Management Accounts)
Use the link below to determine prevailing exchange rates

(For startups, only one (1) year’s financials will be required .

https://www.ecb.europa.eu/stats/policy_and_exchange_rates/euro_reference_exchange_
rates/html/index.en.html
Financial year Year 1 (AFS) Year 2 (AFS) Year3 (MA)
Annual turnover EUR EUR EUR
EBITDA EUR EUR EUR
Net profit / loss EUR EUR EUR
Total Asset Value EUR EUR EUR
Total outstanding amount of loans EUR EUR EUR
In a maximum of 400 words, provide a commentary on your financial history that highlight
sources of your business finance over the past 3 years.

• Describe the turnover trend line for the last three years;
• Provide the names of organizations you received financial support from, and the time
and amount received;
• If you have external loan/s name the source, amount outstanding and repayment
period;
• Describe your largest CAPEX expenditure of the past 3 years;
• Describe changes in equity, if any;
• Have you ever applied for grant funding before? If so, please provide details
regarding sponsor, amount and the expected/realized results of the project.

e). Who is your current auditor?

ZICA
No of years with
Name Certificate
the Auditor
Number

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 Section 3: Project Description
The Opportunity
In a maximum of 400 words describe your project.

• What is the specific industrywide problem that your project is trying to address?
• What are the product/services to be delivered?
• What is the rationale for the project?
• How is it aligned to your core business?
• What significant achievements your organisation has made in the past 3 years?

a) Proposed solutions and key Project Activities

In a maximum of 400 words describe the key project activities and expected achievements.

b) Market Segmentation
In a maximum of 300 words describe who are your target customers and how are they
segmented (size, activity, geography etc.)

c) Contribution
How will the project contribute to your business growth (maximum 200 words)? (Explain
how the project will realistically contribute to substantial growth in business revenue, profit
and assets over the implementation period)

d) Degree of circularity or green dimension is key for the GREENTech4CE Project,

whether for new innovation or products/services or process in order to address the
objectives and challenges to implement or transitioning to green, circular economy. Will
your proposed project address these challenges? If yes, please explain why and how by
summarising associated activities? (maximum 250 words)

For example - a new product (either to your company or the sector), a new service (for
example to improve efficiency or logistics or sharing resources for example) or a new process
(for instance introducing digital technology to reduce transaction costs or improvement
efficiency in the targeted value chain)?

e) Projected/ expected annual project turnover and projected earnings before interest
tax depreciation and amortization with financial support in Euros

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 Year 1 Year 2 Year 3
Projected Project EUR
EUR EUR
turnover
Projected earnings
before interest tax EUR
EUR EUR
depreciation and
amortization

Illustrate how the above figures were reached – state your assumptions:

f) Projected assets value in Euros

Year 1 Year 2 Year 3
EUR EUR EUR

g) Cost of project in Euros (Please enter the total cost of the project and then show how this
will be met by a combination of GREENTech4CE Fund and Co-Financing from your own and
third party contributions)
Total Financial Support Co-financing
Total Project Cost Requested
(GREENTech4CE Fund) Own Contribution Third Party Funding

EUR EUR EUR

h) Project Risk (Detail critical risks that may affect the project and brief mitigation strategies)
Mitigation
Risk Probability (Unlikely/Likely/Certain) Impact (Low/Medium/High)
plan

Section 4: Social Impact

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 a.) In not more than 400 words describe how the project will integrate small actors of
your value chain (Describe the specific proposed activities, services, benefits (direct
/indirect) to targeted small value chain actors. Explain specific actions that will
promote the participation of youth and women entrepreneurs in the project?

b.) In a maximum of 200 words, how many decent jobs your business has created for
women and youth, and what is the projected number of decent jobs (direct or
indirect ) expected to be created by the proposed project?
(Describe specific actions that will provide opportunities for job creation within the
company as a result of the project. Also, disaggregate employment opportunities
for Women, Men and Youth-18-35years)

Proposed number of Full time Staff

Male Adults Male Youth (18-35 Female Female Youth Total
years) Adults (18-35 years)

Proposed number of part time staff

Male Adults Male Youth (18-35 Female Female Youth Total
years) Adults (18-35 years)

Proposed number of seasonal staff

Male Adults Male Youth (18-35 Female Female Youth Total
years) Adults (18-35 years)

Section 5 Supporting a Green Economy

a). How will your business promote innovation and scale of green, circular and digital
economy practices and models?

How will your business adopt / scale up green circular models and practices to improve
sustainability at the firm and sector levels? *
Describe in 200 words

Section 6: Sustainability, Replicability and Additionality

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d) Sustainability and replicability
In a maximum of 400 words describe how your company plans to ensure project
sustainability and replicability after the project period where: Sustainability- how the
company will continue project activities when the project exits and, replicability is how the
company can scale up a similar project in other regions)

Sustainability:

Replicability:

e.) Additionality (In not more than 200 words, would your project proceed and be
sustainable without GREENTech4CE Fund financial support?)

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Application Terms and Conditions

The following terms and conditions will be part of the initial application process and will need to be
agreed to when applicants submit their concept notes.

Terms & Conditions

1. The call for project full proposals is not and shall not constitute an award commitment on the
part of the GREENTech4CE Project.
2. All awards will be subject to the GREENTech4CE Project terms and conditions and are entirely
contingent on the availability of funding.
3. Self Help Africa reserves the right to accept or reject any project full project or cancel the
solicitation process at any time and shall have no liability to the proposing organisations
submitting the project concept notes for such rejection or cancellation of the request for
concept notes.
4. All information provided by Self Help Africa in this call is offered in good faith. Individual
items are subject to change at any time without notice to applicants. Self Help Africa shall
not be responsible for any use of the information submitted by applicants or for any claims
asserted therefrom.
5. Self Help Africa is a corruption and fraud free organization and any attempt to solicit for
information/support contrary to the call guideline during concept note submission process
will lead to direct rejection.
6. Any conflicts of interest (including any family relations to staff of the fund manager, the
funders or other parties with prior information regarding the call) arising from the submission
of a proposal must be fully disclosed to the fund manager in the application.
7. Self Help Africa has no obligation to provide individual response to any questions raised by the
applicant in the process of submitting this project concept note. We will publish all the
responses on https://selfhelpafrica.org/greentech4ce and it's upon the applicant to regularly
check for response to his/her questions.
8. Self Help Africa will keep the applicant's data in accordance with the EU General data protection
and regulation. This data will be retained for a period of 5 years beyond the financial support
period unless the applicant requests to have their data removed from our systems, in which
case we will respond to the request in full within 24 hours.
9. Company information such as email address, phone numbers, business registration, PIN Number
and physical address shall remain private and will be used for purposes of evaluating
investment opportunities, including pre-award assessments, anti-terrorist and sanctions
checks etc., under the fund and other related services. Any other use of this information will
not be without direct authority from the applicant.
10. Self Help Africa guarantees Intellectual Property right and will not use contents of this concept
note in a manner that infringes, violates or misappropriates the applicant's intellectual
property rights or other proprietary rights.
11. The applicants shall meet their own costs in submitting the project concept notes.

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 12. You certify that all information provided as part of this application is true and correct to the
best of your knowledge and belief. You also agree that Self Help Africa is within her right to
suspend the application in case of provision of untrue or incomplete information by the
applicant.

I have read and agree to the Terms & Conditions