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Pre-Incubation Form
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Pre-Incubation Form
PRE-INCUBATION APPLICATION
Applicant's Details
(Please Provide the Basic Details about your startup)
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
*
Select Highest Qualification
Graduation
Post Graduation
PhD
Other
9. Professional Experience (if any)
*
Startup Details
(Details of your Economic Model and Funding Requirement)
10. Name of your startup/brand
*
11. Type of the company?
*
Select Type of the company
Proprietorship Firm
Partnership Firm
Limited Liability Partnership
Private Limited Company
Not Registered
12. Date of Incorporation/Registration
13. Corporate Identification Number
14. Registered/ Corporate Office Address
15. GST Number (If registered)
16. DPIIT Recognition Number (If received)
17. Choose your sector
*
Select Sector
SaaS/PaaS
Marketplace
Option 3
AI/ML
E-Commerce
Social Commerce A
AgriTech
HealthTech
FinTech
FoodTech
Manufacturing/Heavy Industry
Electric Vehicles
Clean Energy
Waste
Disposal
Other
18. Stage of Startup
*
Select Stage of Startup
Ideation
Proof of Concept (PoC)
Minimum Viable Product (MVP)
Early Revenue
Scale-up
19. What is the problem you are solving?
*
20. What is your value proposition for this problem?
*
21. What is your unique selling point?
*
22. What is your target customer segment?
*
23. Who are your key competitors?
*
24. How do you aim to scale-up?
*
25. What will be the revenue model?
*
26. What is the market size of the opportunity?
*
27. Uploaded Pitch deck of Business Idea
*
28. Uploaded any other relevant document
29. Website URL
30. Social Media Links
31. Video URL showcasing the product and/or business model
32. Have you received any monetary support under any Central or State government scheme?
*
Select
NO
YES
33. Hove you received any seed support from any Incubator in the past?
*
Select
NO
YES
Startup Team Details
(Contact & Social Media Details)
34. Name of the Founder
*
35. Name of the co-founders (If any)
*
36. Email ID of both the founder and co-founder(s)
*
37. Contact No. of both the founder and co-founder(s)
*
38. Linkedln Profile of all the core team member
39. No. of full-time employees
Requirement from the incubator
(List out your expectations from AIC GVRAMAN)
40. Why ore you applying for this Program?
41. What ore your expectations from this program?(Share top three expectations)
42. Quantum of Funds Required
43. Current Funding Requirement
Select
Grant
Debenture
CCD(Compulsorily convertible debentures)
CCD(Optionally convertible debentures)
Other
Clear
Submit
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