Pre-Incubation Application Form

Applicant's Details (Please Provide the Basic Details about your startup)

1. Name *

2. Email*

3. Gender*

4. Date of Birth*

5. Address for Correspondence *

6. Contact Number *

7. Native State *

8. Highest Qualification *

9. Professional Experience (if any) *

Startup Details (Details of your Economic Model and Funding Requirement)

10. Name of your startup/brand *

11. Type of the company? *

12. Date of Incorporation/Registration

13. Corporate Identification Number

14. Registered/ Corporate Office Address

15. GST Number (If registered)

16. DPIIT Recognition Number (If received)

17. Choose your sector *

18. Stage of Startup *

19. What is the problem you are solving? *

20. What is your value proposition for this problem? *

21. What is your unique selling point? *

22. What is your target customer segment? *

23. Who are your key competitors? *

24. How do you aim to scale-up? *

25. What will be the revenue model? *

26. What is the market size of the opportunity? *

27. Uploaded Pitch deck of Business Idea *

28. Uploaded any other relevant document

29. Website URL

30. Social Media Links

31. Video URL showcasing the product and/or business model

32. Have you received any monetary support under any Central or State government scheme? *

33. Hove you received any seed support from any Incubator in the past? *

Startup Team Details (Contact & Social Media Details)

34. Name of the Founder *

35. Name of the co-founders (If any) *

36. Email ID of both the founder and co-founder(s) *

37. Contact No. of both the founder and co-founder(s) *

38. Linkedln Profile of all the core team member

39. No. of full-time employees

Requirement from the incubator (List out your expectations from AIC GVRAMAN)

40. Why are you applying for this Program?

41. What are your expectations from this program?(Share top three expectations)

42. Quantum of Funds Required

43. Current Funding Requirement