KUBIC
Business Incubation Center of KMU (KU BIC)
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 KMU
2- Business activity detail: a: Business/Project Name
Your answer
b: Date of Idea conceived
MM
/
DD
/
YYYY
c: Operations started
MM
/
DD
/
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
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-KMUian 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 KUBIC
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 KUBIC
g: Expected time to graduate from KUBIC
MM
/
DD
/
YYYY
h: Any interest to participate in Business Plan Competition?
i: From where do you heard about KUBIC?
j: Benefits to KUBIC in particular and to KMU in general
Your answer
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy