INVESTMENT CODE DATASHEET

Transcription

1 INVESTMENT CODE DATASHEET COMPANY NAME: Révision : 21/03/11 Impression : 29/11/11

2 File received by: File processed by: INVESTMENT CODE DATASHEET I- IDENTIFICATION OF COMPANY 1. Company name or project name: 2. NINEA : RC:. CODE PPM :.. 3. Name and Surname(s) of Manager:. 4. Head Office (exact address) : Tel :.. Fax : Address abroad: City: Country : Tel :.... Fax Senegalese abroad: Yes No 7. Activity(ies) to be approved : 8. Legal nature: Public Limited Company Limited Liability Company EIG PP SURL OTHERS 9. Production site (exact address) : 10. Actual number of employees (only for extension projects) : permanent. temporary 11. Corporate capital FCFA Percentage local..% Percentage foreign.% Country of origin of foreign capital Percentage INVESTMENT CODE DATASHEET 2

3 12. Partnership - Are you in a partnership? Yes No - If yes, of what type? Technical Financial Commercial - Are you looking for a partnership? Yes No - If yes, of what type? Technical Financial Commercial 13. Multinational Company - Are you a subsidiary of a multinational company? Yes No - If yes, state the name of the multinational and its business sector - Headquarters of the multinational Exact address Tel :..... Fax Fund raising - Is the project s financing acquired? Yes No Is it through equity capital? Yes No Is it through loans? Yes No - If it is through loans, which financing institution(s) provide(s) them? - If the funding is not yet acquired, where did you submit an application? 15. Project site - Is the project site at your disposal? Yes No - If yes: What is its surface area?.. - If not: What type of occupancy right does it have? (n title deed, lease, tenancy, attribution, etc.) What is the surface area of the land? How did you obtain the land? INVESTMENT CODE DATASHEET 3

4 .. II PROJECT PROFILE 1. Business sector: 2. Type of investment: Creation Extension Modernization Completion Re-evaluation Relocation Diversification Renovation 3. Past authorization(s) N and date Type Approved amount Amount spent Jobs projected Jobs created III PROJECT COST AND FINANCING 1. Project cost Start-up capital (preliminary expenses) : Notary, etc.) CFAF Land: CFAF Amenities CFAF Constructions (buildings, Hangar) :. CFAF Fixed operating equipment: CFAF Works and services (installation cost and other works and services) :. CFAF Computer equipment: CFAF Utility vehicles and gears: CFAF Passenger vehicles CFAF Working capital needs (for 3 months) :... CFAF Others: CFAF TOTAL INVESTMENTS:. CFAF 2. TOTAL INVESTMENT PLAN:. INVESTMENT CODE DATASHEET 4

5 Equity capital:.cfaf - Loan(s).CFAF IV OPERATION 1. Technical elements - Possible starting date (month/year) : Creation Extension Proposed products: Proposed services: Production/absorption capacity of services performed (per day, month or year) : Current capacity :. Additional capacity to be installed :.. - Raw materials used Major inputs: What proportion of the major input is used in the preparation of the final product? - Technical aspects Production of goods Key phases of the production process: Provision of services INVESTMENT CODE DATASHEET 5

6 Description of the activity:. Phases of the intervention process:.. 2. Specific technical elements: Infrastructure (Business complexes, port, railroad and airport facilities) Key project components: Objectives sought:. Agriculture - Available area - Area sown - Water sources Crops Area Output (T/Ha) INVESTMENT CODE DATASHEET 6

7 Animal breeding Species: Number of rotations Number of animals per rotation... Production cycle: Tourism Hotel industry (Components of the hotel) : Transportation for tourists (technical characteristics of the equipment, routes envisaged, specify the means of transport used for each route, as well as the duration) : Play activities (existence of a connecting base or receptive) :.. Catering Number of meals: Available area:... V JOBS TO BE CREATED QUALIFICATIONS WORKFORCE WAGE BILL (millions of CFAF/annum) Local Other Total Local Other Total Senior management Higher technicians and mid-level managers Technicians and supervisors Employees, skilled workers and apprentices TOTAL PERMANENT INVESTMENT CODE DATASHEET 7

8 EMPLOYEES SEASONAL WORKERS Specify the nationality of the foreign staff:. VI TURNOVER Year 1 :. CFAF Year 2 :. VII EXPORT PRODUCTION (only for the production of goods) - Target markets: - Percentage of exported production: Year 1 : Year 2 : I declare that all the information provided on this form is true. Any false statement may lead to the withdrawal of the authorization. Done in Dakar, on Signature Name and title INVESTMENT CODE DATASHEET 8

9 Company name or project name:.. Total amount of Investment to be approved: CFAF Value of fixed assets CFAF Address:..... Tel:. Fax: .. LIST OF EQUIPMENT AND MATERIALS Tariff Heading Tariff wording Quantity CIF value Rates of duties and taxes (%) Duties and Taxes (CFAF) INVESTMENT CODE DATASHEET 9

10 PROJECT SHEET INVESTMENT CODE DATASHEET 10

11 COMPANY NAME: LEGAL STATUS (PLC,LLC, SURL, PP, EIG etc.) TYPE OF AUTHORIZATION (Investment Code or Free Export Company) DATE OF SUBMISSION NAME OF MANAGER(S) POSITION (Manager / Director General / Administrator etc.) SENEGALESE ABROAD ADDRESS ABROAD NATIONALITY (if promoter is a foreigner) PAST ACTIVITIES CURRENT ACTIVITIES PARTNERS PROMOTER(S) PROFILE TYPE OF INVESTMENT (creation/extension etc.) AMOUNT OF INVESTMENT MAJOR INVESTMENTS (fixed operating equipment/constructions etc.) FINANCING SOURCES BUSINESS SECTOR START-UP DATE PROPOSED PRODUCTS/ SERVICES TARGET MARKET(S) PROJECT Equity capital :...% Loans :...% State the origin of loans Number of permanent jobs projected for the project : Number of jobs created during the project start-up phase (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: INVESTMENT CODE DATASHEET 11

12 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: Head Office Address CONTACT DETAILS Fixed Telephone: Cell: Fax : Web site INVESTMENT CODE DATASHEET 12

13 APIX REGIONAL REPRESENTATIONS - APIX SAINT LOUIS o Soda DIOP BA APIX Regional Representative Saint Louis CNCAS, Quai Henri Jay, Sud Saint-Louis Tel : / Fax : sdiop@apix.sn - APIX ZIGUINCHOR o Pape AMAR APIX Regional Representative Ziguinchor CNCAS, Rue du Commerce Tel : / Fax : smane@apix.sn - APIX TOUBA o Bintou DIAGNE APIX Regional Representative Touba CNCAS, Touba Khaïra, route 28, rue de la Grande Mosquée Tel: Fax: bdiagne@apix.sn - APIX KAOLACK o Mamadou SOW APIX Regional Representative Kaolack CNCAS, 4 Place de l Indépendance Tel: Fax: msow@apix.sn INVESTMENT CODE DATASHEET 13