Incubator-form

Instructions

1. Please ensure you are logged in for filling up the application, else you will not be able to fill the form.
2. For guidelines on National Startup Awards 2022, please Click Here
3. For details on eligibility, rules and other FAQs, please Click Here

Incubator Details

1. Name of Incubator^*

2. Date of incorporation as Incubator^*

3. Name of the representative^*

4. Position of the representative

5. Email id of contact person^*

6. Mobile number of contact person^*

7. Address of Incubator^*

8. State^*

9. City/ Village^*

10. Pin code^*

11. Alternate email id^*

12. Alternate mobile number^*

Incubation Support

13. Total number of startup incubated^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

14. Number of startups graduated from the Incubator^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

15. Number of startups that have raised follow on investments ^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

16. 2 year survival rate of startups from date of joining incubation program ^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

17. Infrastructure support provided to startups (Co-working space, labs, networking rooms etc.)

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

18. Are you supported by State/Central department? If yes, Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

Funding Details

19. Number of startups invested in^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

20. Number of startups supported through grant/fund (State/ Central/Any other org. etc.)

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

21. Total investment raised for startups (In INR Million)^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

22. Total corpus allocated to incubatees (in INR million)^*

Attach supporting proof.^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

Mentoring Support

23. Number of paid mentors on-boarded^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

24. Number of startups which crossed the mark of two crore revenue during the incubation program in past one year ^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted.^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

25. Number of IP registered by incubatees^*

Attach supporting proof. Please refer to the application guidelines for the format in which the proof is to be submitted.^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

26. Mentoring hours – average monthly hours allocated / startup^*

Support provided to incubatees

27. Events held for stakeholder engagement^*

Attach supporting proof^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

28. Details of industry – corporate connect programs^*

Attach supporting proof^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

29. Any other support provided^*

Attach supporting proof^*

(The document must be uploaded in PDF format with file size not exceeding 10 MB)

30. Did you apply for National startup awards 2021?^*

Yes No

31. How did you hear about us? ^*

Please mention the source

Declaration ^*

I hereby declare that all the information that I have provided by way of this form is authentic and to the best of my knowledge. In the occasion that any information provided is found wanting or is not in accordance with the format in which it is requested, I stand the chance of getting disqualified from the National Startup Awards.

I Agree

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