Business Incubation Center of NUML (B ICON)
Application Form
Email address *
Status:
1: Applicants Details (for business initiator) a: Name
Your answer
b: Gender
c: Academic Qualification
d: Professional Qualification (if any)
Your answer
e: National Tax Number
Your answer
f: National Identity Card Number (submit hard copy)
Your answer
g: Postal address (for correspondence):
Your answer
h: Telephone/fax/mobile
Your answer
i: Email/website (if any)
Your answer
j: Partners (if any)
If yes' give details
Your answer
k: Affiliation with NUML
2- Business activity detail: a: Business/Project Name
Your answer
b: Date of Idea conceived
MM
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DD
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YYYY
c: Operations started
MM
/
DD
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YYYY
d: Industry
e: Sector
f: Summary of your Business idea (Max 250 words)
Your answer
g: Main business activities
Your answer
h: Your business experience
i: Your working/job experience
j: Your market (potential):
Your answer
k: How many proposed employees will the business have during its first six months of operation?
l: How many employees will the business have at the time of graduation?
m: What financial resources, if any, do you currently have to support the business?
Your answer
3: Incubator Needs and Requirements - a: Will any of these employees be non-NUMLian students? If so, please indicate their names.
Your answer
b: Proposed Revenue Generation
Your answer
c: Proposed Break-even Time/point
d: Do you anticipate having any equipment other than standard office equipment in the incubator in support of your business?
If yes , kindly specify
Your answer
e: Does your business have any unique requirement?
f: Describe the operating hours of your business. How much hours in a day ?
g: Describe timings of your business
h: Would you like to share your incubation space?
4: Services required from BICON
a: Focal person for contact : name and contact no
Your answer
b: Any awards or recognition related to the innovation:
Your answer
c: Space required
Your answer
d: Expansion Plan in term of space and staff
Your answer
e: Expected date of incubation
MM
/
DD
/
YYYY
f: Expected time to stay in BICON
g: Expected time to graduate from BICON
MM
/
DD
/
YYYY
h: Any interest to participate in Business Plan Competition?
i: From where do you heard about BICON?
j: Benefits to BICON in particular and to NUML in general
Your answer
Your answer
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