Declaration Form for Determining Micro, Small, Medium Enterprises and Proposing Support Needs

Based on the Appendix issued together with Decree 80/2021/ND-CP (Effective from October 15, 2021) which regulates the form for the declaration to determine micro-enterprises, small enterprises, and medium enterprises, and proposes the need for support as follows:

DECLARATION TO DETERMINE MICRO-ENTERPRISE, SMALL ENTERPRISE, MEDIUM ENTERPRISE AND PROPOSE SUPPORT NEED
(Attached to Decree 80/2021/ND-CP dated August 26, 2021, of the Government of Vietnam)

1. General Information about the Enterprise:

Company Name: ............................................................................................................

Enterprise Code/Tax Number: ......................................................................................

Type of Enterprise: .......................................................................................................

Head Office Address: ....................................................................................................

District: ....................................................... Province/City: ....................................

Telephone: .............................. Fax: .................................... Email: ....................................

2. Information on Determining Women-Owned Enterprise:

Has charter capital owned by one or more women from 51% upwards:

□ Yes □ No

Name of the Enterprise Manager: ......................................................................

3. Information on Criteria for Determining Enterprise Size:

Main Production and Business Field: .................................................................................

Average number of employees participating in social insurance per year: ......................................................

Of which, number of female employees: ....................................

Total Capital: .................................................................................................................

Total Revenue of the Previous Year: .....................................................................................

4. Self-identification of Enterprise Size (check the corresponding box):

□ Micro-enterprise □ Small enterprise □ Medium enterprise

5. Proposed Support Contents (Enterprises can choose one or more support contents):

□ Technology support: ............................................................................................................

□ Consulting support: ...................................................................................................................

□ Human resource development support: ....................................................................................

□ Support for small and medium enterprises transitioning from household businesses: ......................................

..............................................................................................................................................

□ Support for innovative start-up small and medium enterprises: ..................................................

..............................................................................................................................................

□ Support for small and medium enterprises participating in industrial clusters, value chains: ..................

..............................................................................................................................................

THE ENTERPRISE COMMITS

1. To the accuracy of the information related to the enterprise.

2. To strictly comply with the laws of Vietnam.

Attached documents: ....................................

Sincerely!