Application Form: Seed Funding via BIRAC SEED Fund
Note: Before submitting this application please read the terms of investment mentioned below:
Typical terms for seed funding:
• Selected startup should be resident incubatee of Venture Center at the time of seed fund investment
• Investment mode: Equity ownership in a private limited company
• Equity stake for seed fund: Up to 10%
• Investment amount: Up to 30 lakh
• BoD representation: 1 Board Nominee Director and/or observer of Venture Center

Have you read and understood the terms of seed investment mentioned above? *
1. Applicant information :
Applicant full name *
Your answer
Affiliation/ profession
Your answer
Full postal address for correspondence
Your answer
Phone *
Your answer
Email *
Your answer
2. Organization information
Legal status of organization (tick one) *
Other, please specify:
Your answer
Legal status of organization (tick one)Name of organization
Your answer
Date of incorporation/registration *
MM
/
DD
/
YYYY
Alternative correspondence address (if different from above address of applicant)
Your answer
Website
Your answer
Nature of business (explain in brief) *
Your answer
Age of business (years)
Your answer
3. Application for seed funding via BIRAC SEED Fund
We wish to apply for seed funding via the BIRAC SEED Fund, facilitated by Venture Center: *
Required amount of funding (Rs in lakh) *
Your answer
We are emailing a detailed business plan separately *
We heard about Venture Center from
• Others (Please Specify)
Your answer
Preliminary eligibility criteria for BIRAC SEED Fund
Is there atleast one dedicated entrepreneur associated with the venture? *
Is there a formal, comprehensive business plan attached? *
Is there a formal, comprehensive business plan attached? *
Do the key activities to be funded primarily include product development, prototyping, scale-up, developing IP portfolio, test marketing, trials, certification, testing?Do the key activities to be funded primarily include product development, prototyping, scale-up, developing IP portfolio, test marketing, trials, certification, testing? *
Do the key activities to be funded primarily include product development, prototyping, scale-up, developing IP portfolio, test marketing, trials, certification, testing?Do the key activities to be funded primarily include product development, prototyping, scale-up, developing IP portfolio, test marketing, trials, certification, testing? *
Does the venture have any preliminary results demonstrating the concept? *
Do the venture’s activities meet EHS (Environment Health Safety) requirements? *
Is the venture already registered as a private limited company or in process of registration? *
Is there a strong technology/knowledge component in the venture? *
Is the amount of funding requested less than 30L? *
Are the promoters willing to share equity in exchange for seed funding? *
Is the applicant a resident incubatee at Venture Center or ready to be a resident incubatee at the time of investment? *
The undersigned authorized representative of the applicant also declares that all the information given herein above is true and correct to the best of his personal knowledge and belief and also understands that in the event of any information found to be untrue or incorrect, the contract of the said services is liable to be terminated forthwith. The undersigned authorized representative of the applicant also agrees not to make any claim or demand compensation unconditionally in any form, at any point of time, now or any time in future, on the information / technology details provided by you as trade secret or proprietary intellectual property. This information is required by Venture Center to assess the suitability for the purpose of providing seed funding support. Further Venture Center does not guarantee acceptance any funding assistance, and Venture Center has the right to reject any proposal without assigning any reason what so ever. Venture Center will not pay any compensation to you in any form for the delay in communicating the same *
Submit
Never submit passwords through Google Forms.
This form was created inside of Venturecenter.co.in. Report Abuse - Terms of Service