Application Form for Anusthapan and Udbhavan

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Agri Business Startup Incubation Application Form

Application for the program (tick the appropriate box) *

Agripreneurship Orientation Program (AOP - Anusthapan - If you have an idea or a mental concept but no ready product or service, please tick this box)

Agri Startup Incubation Program (AIP - Udbhavan - If you have a ready made product/ service or a prototype, please tick this option)

Name (Full Name) *

Date of Birth *

YYYY

Email Id: *

Address for Correspondence *

City *

Mobile/ Cell Phone No *

Gender *

Category *

Educational Qualification *

Professional Trainings/ Certifications attended, if any:

Which State do you belong to? *

In which state of India, are you planning to operate your future business?

Mother Tongue and Languages known: *

Current Employment Status: *

Any prior experience before starting your current business ? (Only applicable for Incubation/ Udbhavan applicants) *

Have you created any legal business entity ? *

If your answer to the previous question is "Yes", please tick on the following options. If your answer to the above question is "No", you are required to create a Private Limited Company or Registered Partnership before you join our program *

Location of the registration of your company:

What is the current state of your business idea ? *

Ideation Stage

Prototype Stage

MVP (Minimum Viable Product)

Product Validation/ Testing Stage

Have you received financial support from any Incubator/ VC/ Bank/ NBFC? *

In case your answer to the above questions is "Yes", then please state the amount in INR (Lakhs/ Cr) and source of funds or if the answer is “No”, then justify the need for funds * *

What is the focus area of your business ? *

Value Added Processing and By-Product Utilization

Aquacuture based Enterprise

Novel Food Products and Technology

Organic Farming and Supply Chain Management

Solar Based Farm Interventions

Rural Technologies

Dairy and Food Processing

Artificial Intelligence, Internet of Things (IoT), Machine Learning and ICT in Agriculture

Please explain your idea/ product/ service/ process clearly but in brief. (Not more than 200 words). *

What is the innovativeness/ unique sales proposition of your product/ service/ process? (Not more than 200 words) * *

What problem your idea proposes to solve with its relevance to agriculture sector and social impact? (Not more than 100 words) *

Who is the primary customer and/or consumer of your product/ service/ process? (Not more than 100 words) *

Have you tested your product/ idea in the market ? *

What is your business evaluation and investment done till now? (If yes, how much) Investment in Plant & Machinery, Marketing and Branding * *

How did you come to know about us? *

Newspaper

Facebook

Twitter

Instagram

Word of mouth

Other:

Declaration: I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief. Also I undertake to inform you of any changes therein, immediately. In case any of the above information is found to be false or untrue or misleading or misrepresenting, I am aware that I may be held liable for it and might lead to expulsion from the program. *

I Declare

Terms and Conditions:1) The duration of the intended program will be 60 days with 40 days of residential and 20 days of market / field survey.2) Please attach copies of Aadhar Card and passport size photograph along with the filled application form.3) Applicant should not be enrolled with any parallel running Govt startup funding programs.4) A self declaration form is required from the incubatee during the selection process, which will be taken into consideration against any other grant-in-aid funding received by the incubatee for the same activity/product from other ministries of GOI.5) Those who have already registered once with any of the R-ABIs in similar capacity are not eligible to apply.6) AFBIC will execute a legal agreement with the incubatee who is selected for the seed support and this agreement will be signed before the release of the first installment of seed fund to the incubate. Subsequent disbursement of the seed fund will be linked to the achievement of milestones by the incubatee.7) The applicant incubatee will be provided funds as per their genuine requirements and as per appraisal/evaluation of their business plans by the RC and the decision of the RC in this regard will be final and binding. The RC will not be bound to give any reason in case an application for seed grant is rejected. In case, the incubatee is already receiving grant/financial support from any other source, he is liable to disclose the same and the issue of grant under RKVY-RAFTAAR will be decided on a case to case basis by RC based on recommendation of the RIC.8) AFBIC in turn will also institute awards for the best incubatee and a cash prize, a trophy and a certificate will be awarded every year till the end of the project.9) All grants-in-aid will be disbursed in phase wise manner. Subsequent grants-in-aids will be disbursed only after due diligence of the previous grant(s) which have been utilized judiciously. *

I agree to the above terms and conditions.

I disagree

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