Incubation Application Form
Have you previously been incubated in another TBI or incubator?
*
Select
Yes
No
Applicant Type
*
Select
Company
Individual
Name
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Details
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NOC(from current incubator)
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Details of company/individual
Contact Name
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Contact No.
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CIN No.
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PAN No.
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Address
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State
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City
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Pincode
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Please mention the details of Co-Founder / Partners
Details of Co-Founder / Partners - 1
Name
*
Contact Number
*
Alternate Contact No.
Email
*
Date of Birth
*
Father's Name
*
Highest Qualification
Work Experience
Present Role in the venture
Domain Of Expertise
Full-time into the venture?
Select
Yes
No
LinkedIn Profile URL
Details of Co-Founder / Partners - 2
Name
*
Contact Number
*
Alternate Contact No.
Email
*
Date of Birth
*
Father's Name
*
Highest Qualification
Work Experience
Present Role in the venture
Domain Of Expertise
Full-time into the venture?
Select
Yes
No
LinkedIn Profile URL
Please provide an abstract of the entire project, including:
Problem statement in one line
*
Hint: (e.g., "Uber: Waiting time for cabs is too long")
Please describe how your proposed solution addresses the stated problem.
*(Max Char : 3000)
Provide a succinct description of your company's vision and the extent of customer engagement, supported by relevant data from market research and insights gained from customer interviews (2-3 lines).
*(Max Char : 1500)
Explain your business model, including details about your target customers, pricing strategy, and expected pricing levels in 1-2 lines.
*(Max Char : 1500)
Describe any intellectual property involved and provide the current patent filing status in 1 line.
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Describe the business's potential for scalability in 1 line.
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Specify the industry and its sub-category in which the company operates.
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Please share any investment interests your company has and any notable awards or recognitions received. This could include similar companies' fundraising history and any significant national or international awards with relevant details in one or two sentences.
*(Max Char : 1500)
What exit strategy do you propose to offer us after successful fundraising?
*(Max Char : 3000)
Why is your team well-suited to execute this project? Please highlight relevant education, experience, diversity, and other qualifications in 2 to 3 sentences.
*(Max Char : 1500)
Product Stage
Select
Strategy
Build
Execution
GTM
Funding Raised
Select
0-50000(INR)
50000-1000000(INR)
1000000-10000000(INR)
10000000+(INR)
Any debt or equity investment?
Select
Yes
No
Amount
Select
0-50000(INR)
50000-1000000(INR)
1000000-10000000(INR)
10000000+(INR)
What specific support and assistance do you anticipate from IITK Incubator? Please provide a brief description in 2-3 lines.
*
(How can we help you to achieve your goal)
URL link for video
Upload your presentation or idea pitch
*
(Accepted formats: PDF, PPT; File size limit: 5MB)
Upload additional information (if any)
(Accepted formats: PDF, PPT; File size limit: 3MB)
Submit
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