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Application for Incubation at BioNEST-UDSC
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Email
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Applying as
Individual
Company
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Name of the Incubatee
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For Company: Year in which It was established
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For company: registered address of the company (if registered).
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Current address of the individual or company
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"For Company, Registration no; Tax ID no; PAN no; If not yet available, state so. For individual PAN no:
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Details of person of contact, Name and designation; Phone no; Email ID;
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For company:Total share value
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For company: Share/Equity distribution. Name of director and Share/Equity (%) Holding.
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"For VC-funded company; Name of VC: Amount funded:"
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Area of Life Science operations of the individual or company
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Brief description of activities of individual or company so far(no more than 500 words)
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Brief description of research and technology development being proposed for execution at BioNEST-UDSC(no more than 500 words)
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Equipment and instrumentation required for proposal
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"Incubation space required:**"
Bench Space (Sq. ft.): 5X2.5
Bench Space (Sq. ft.): 6X2.5
Bench Space (Sq. ft.): 8X2.5
Laboratory Modules - 90 Sq.ft.
Laboratory Modules - 140 Sq.ft.
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Any Other Requirements
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I (Write Name in Answer) on behalf of all other Directors of the company (Write Company Name in answer) seek to apply for incubation space in BioNEST-UDSC and shall abide by the rules and regulations of the Facility. To the best of my knowledge the facts in the application are true.
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