Source document: https://docs-lawep.s3.us-east-2.amazonaws.com/1696585918815.pdf (Vanuatu)
RESERVE BANK OF VANUATU 2021 MSME Awards BUSINESS NOMINATION FORM Instructions i.

Fill in form (One form per category) ii.

Attach requested documents (pictures, etc.)

iii.

Submissions marked “Confidential MSME Award Application” and addressed to the Financial Inclusion Unit can be hand delivered to the Reserve Bank reception or via email to: jpeter@rbv.gov.vu , copying in: abaniuri@rbv.gov.vu iv.
All nominations must be received by 5pm, Friday 29 October 2021 Eligibility: To be eligible for the award, small businesses need to: i.

Be locally registered (Provide proof of registration) ii.

Have annual sales or turnover of NOT more than 15 million iii.
Employ NOT more than 10 employees Note: Youth category refer to individuals within the age range of 15 years to 30 years PART A: NOMINATOR DETAILS Name: ______________________________________________________________________ Organization you represent: ____________________________________________________ Address: ____________________________________________________________________ Telephone: __________________________________________________________________ Email Address: _______________________________________________________________ PART B: NOMINEE BASIC DETAILS Name: ______________________________________________________________________ Address: ____________________________________________________________________ City / Town: _________________________________________________________________ Province: ____________________________________________________________________ Contact Person (Attach a picture to the form):________________________________________ Telephone Number: ___________________________________________________________ Email: ______________________________________________________________________ RBV MSME AWARDS 2021 BUSINESS NOMINATION FORM 1 | P a g e RESERVE BANK OF VANUATU PART C: CATEGORY OF AWARD From the list below, select the category of award you are nominating this MSME for:  Manufacturing  Services  Agriculture  Youth in Business  Product Innovation  Women in Business *Note: The decision on how many award categories may be available at one particular award nomination period is at the discretion of the Award Committee.
New categories may be added or some removed by the Awards Committee.

PART D: MSME PRODUCT DETAILS In at least 300 words, describe the type of product developed / produced / manufactured or service operated including any supporting documents.

(pictures, brochures, etc.)

RBV MSME AWARDS 2021 BUSINESS NOMINATION FORM 2 | P a g e RESERVE BANK OF VANUATU PART E: MSME OPERATIONAL DETAILS Item 2018-2019 2019-2020 2020-2021 Original in plant/machinery/equipment (VT) Investment No.
of employees Value of Annual sales of Products/services/job work (VT) Net Profits (VT) PART F: REASON WHY THE MSME SHOULD GET AWARDED i.

In at least 300 words please describe why your application deserves to be considered for the category that you have applied for: RBV MSME AWARDS 2021 BUSINESS NOMINATION FORM 3 | P a g e RESERVE BANK OF VANUATU ii.
In at least 300 words describe how local innovation and creativity has helped you overcome challenges and how your business is contributing towards inclusion and sustainability in general.

Signature: ____________________________________ Date: ______________________ Thank you for completing this nomination form.

Please submit it, along with any additional documents, brochures and customer reviews that support your application per the submission details in the instructions.
Disclaimer: All information provided in the nomination form will be used solely for evaluating 1. applicant institutions according to the parameters decided by the Panel of Judges.

All the documents submitted towards completion of the nomination forms are the 2. property of the Awards Secretariat.

Panel of Judges decision will remain final and binding.

Every effort will be made to 3. ensure that due consideration is given to all the applications received.
RBV MSME AWARDS 2021 BUSINESS NOMINATION FORM 4 | P a g e