2021 NORTHERN TERRITORY INDIGENOUS BUSINESS AWARD

Application Form

              2021 NORTHERN TERRITORY
            INDIGENOUS BUSINESS AWARD

   Aim: For outstanding achievement by an indigenous owned or
 operated business (by 50% or more) involved in providing products
  or services in the Northern Territory, interstate and/or overseas,
                      that is exceeding in its field.

             Applications Close Wednesday 11 August 2021

       This award is a category of the NT Manufacturing Industry Awards,
       a component of the Chief Minister’s NT Export & Industry Awards.

      Proudly sponsored by INPEX Ichthys LNG Project - Northern Territory
                                   (INPEX).

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Overview:
The NT Manufacturers Council and the INPEX Ichthys LNG Project – Northern Territory (INPEX)
invite you to nominate your business for the prestigious 2021 INPEX Indigenous Business
Award, known as the NT Indigenous Business Award.

This award is a category of the NT Manufacturing Industry Awards, a Territory-recognised
component of the Chief Minister’s NT Export and Industry Awards.

Why apply?
Nominated companies that achieve the standards determined by the judges will be invited to
attend the awards presentation event*. Finalists and winners will receive Territory-wide
industry recognition and publicity across selected media. The winner of this category will be
announced at the ceremony gala dinner and presented with a framed award and one-year
complimentary membership of the Chamber of Commerce NT**.

Eligibility:
This award is open to all indigenous owned or operated businesses (by 50% or more) that are
registered in the Northern Territory or operate under local management.

Qualifying entries may consist of indigenous businesses successfully exceeding in its field in
providing products or services in the Northern Territory, interstate and/or overseas.
Entrants will be sought from any indigenous owned or operated business (by over 50%) that
is exceeding in its field in the Northern Territory.

Judging:
Judges will sign confidentiality and conflict of interest statements prior to evaluating
nominations and if required, one or more of the judges may visit the finalist’s premises prior
to selecting the overall winner for 2021.

How to apply:
Complete this application form and submit with minimum two high-res photos and your logo
to jbelisse@chambernt.com.au and/or kmorrissey@chambernt.com.au by Wednesday 11
August.

For more information on this Award, the Awards programme or for assistance in completing
this application please contact the Manufacturers Council on (08) 8982 8142.

*Ticketed event. **Membership type to be advised post-awards ceremony.

We look forward to receiving your nomination!

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SECTION 1. BUSINESS DETAILS

 1.1.    Business Details Table

Business Name:
Will appear on all publicity
materials
Contact Name:
Full name of person
completing application
Title:
E.g., Admin Officer, CEO)
Phone:
Email:
Address:

Postal Address:
If different to address
Alternative Contact Name:
Title:
(Marketing Officer, CEO)
Phone:
Email:
Business URL:
Website address
ABN:
Required for ASIC Search
Number of Employees in NT:
Please specify number of FTE
Year business was
established:
Primary Services:
E.g. manufacturing, supply or
service provider
Executive Summary / Bio:
In no more than 150 words
explain your core business.
Will be used on all publicity
materials

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SECTION 2. DESCRIPTION OF PRODUCTS AND/OR SERVICES

2.1 Describe your businesses’ most recent achievements (in no more than 250 words).
Include details of innovative new processes, design or product manufacturing, and/or diversification
into new domestic or export markets, or sectors such as Defence, Oil and Gas. Detail technologies or
business solutions and how they have improved productivity, efficiency, and competitiveness, and if
the business has grown in past 12 months due to these new changes.

2.2 Have you identified future risks, and do you have a business plan for future growth and to
manage these risks? (Please describe in 150 words or less).

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2.3 Have you applied for any available grants or assistance since the start-up of the business
and/or innovative product/processes/design? If yes, please provide brief details of each and if it
was effective.

2.4 Has your turnover increased in the last 12 months? If yes, by what percentage?

2.5 Are you a member of an industry association? If yes, please state which one(s).
E.g., Indigenous Business Network, Chamber of Commerce NT, Manufacturers Council, ICN NT,
Master Builders, etc.

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SECTION 3. CHECKLIST
        3.1 Please place an X in the boxes to the right of each appropriate answer.
        If applicable, you may mark more than one. Unless otherwise stated please answer in
        relation to 2020-2021 financial year. If not applicable, mark N/A.

                                        X                    X                   X                        X
                                              $500,000 to             $5M to
Turnover 2020-21

Supplies purchased in                                                                       Greater than
                          Nil                 Less than 10%           10-50%
NT                                                                                          50%
                                                                                            Achieved in
Marketing/Sales Plan      No                  Developing              Yes
                                                                                            2018-19
Increase Business                                                                           Greater than
                          Nil                 Less than 10%           10-20%
assets                                                                                      20%
EBIT (earnings) as %
                          Nil                 Less than 2%            2-5%                  Greater 5%
Sales

        SECTION 4. DECLARATION

     4.1 Declaration
     In signing this application form, I certify that the particulars given are correct to the best of my
     knowledge and belief.
     Print Name:                                           Signature:
     Date:

        I have attached minimum two high-res photos of the business, product or service and my
        company logo _____ (X).

        Complete this application form and submit with minimum two high-res photos and your logo
        to jbelisse@chambernt.com.au and/or kmorrissey@chambernt.com.au by Wednesday 11
        August.

        Contact the Manufacturers Council on 08 8982 8125 if you have any questions or concerns.

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