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Incubation Form
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Incubation Form
INCUBATION APPLICATION AIC
Applicant's Details
(Please Provide the Basic Details about your lstartup)
1. Name
*
2. Email
*
3. Gender
*
Select Gender
Male
Female
Transgender
4. Date of Birth
*
5. Address for Correspondence
*
6. Contact Number
*
7. Native State
*
8. Highest Qualification
*
9. Professional Experience (if any)
*
Startup Details
(Details of your Economic Model and Funding Requirement)
10. Name of your startup/company
*
11. Have you registered the company?
*
Select
Yes
No
12. If Yes, what is the legal status of the entity you have formed?
*
Select your status
Proprietorship Firm
Partnership Firm
Limited Liability Partnership
Private Limited Company
Not Registered
13. Date of Incorporation/Registration
*
14. Corporate Identification Number
*
15. Registered/ Corporate Office Address
*
16. GST Number (If registered)
17. DPIIT Recognition Number (If received)
18. Stage of Startup
*
Select Stage of Startup
Idea-Concept-Validation/Pre-Seed Phase
Minimum Viable product/Early Phase
Product-Service Development/Growth Phase
Scalability/Expansion Phase
Other
19. Brief about the startup / Idea
20. which focus area does your product/service/idea belong to
*
AI/ML
AR/VR
Agriculture
Clean energy
Cyber security
Education
Healthcare
Housing
IoT
Robotics
Sustainable technology
Transporation
Water and sanitation
Other
21. What is the problem you are trying solve?
*
22. What is your value proposition while solving this problem?
*
23. what is your unique selling point(USP)?
*
24. What is your target customer segment?
*
25. Who are your key competitors?
*
26. How do you aim to scale-up?
*
27. What will be the revenue model?
*
28. What is the market size?
*
29. What is the innovativeness/novelty in your process/product/service/business strategy?
*
30. Have you filled any patent/copy right protection?
*
31. Uploaded your Pitch deck
*
32. Any other relevant document(If you want to share)
Additional Information
33. If you have not registered the company, are you will to register during the incubation period?
*
Select
Yes
No
34. How did you find out about our incubation program?
*
Select incubation program
Social Media
Website
Through recommendation
Other
Declaration
Submit
Clear
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