Incubation Registration Form
JE- Incubation Centre
INCUBATION APPLICATION FORM
Name of the Applicant:
Please attach copy of Memorandum and Articles of Association of the Company
Address of registered office:
Name of Directors and Promoters
Name of faculty Mentor:
BUSINESS/ IDEA DETAILS
Title of your Business/Technology proposal for Incubation
Brief Description of the Product/Services/Technology business you plan to incubate in JE
Brief description of the R&D efforts and other technological inputs you hope to resource from JE (Please also indicate names of faculty member(s), dept./centers of the Institute you plan to associate and equipments facilities to be used)
Have you interacted with the concerned faculty and has he/she/they consented to collaborate with you?
Why do you want to locate in the JE
Infrastructure requirement for space, workstations or PCs
List any special requirements for usage of JE,Yavatmal laboratory facilities:
Specify requirement of Mentoring and other professional services/ support:
Have you prepared a Business Plan? If yes, please submit a copy.(Please look at the web-site for the suggested format).
Please indicate your sources of funds
Profile of your Company (Type of business, details as date of registration etc. ,membership of stock exchange if any, key personnel/associates, specific achievements etc.)
Profile of Directors and Promoters: (Attach brief resume)
Please give names and address of up to 3 referees who are acquainted with your career profession/ achievement.
Attachments Certificate of incorporationMoA & AoA of applicant company;Business planResume of Promoters etc
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