Incubation Form

Venture Name^*:

Stage of your venture^*:

Address of Registered office / Operating space^*:

Contact number^*:

Email Address^*:

Website

Domain^*:

Name and Profile of Founders / Directors^*:

Sr. No.	Name of the member	Email Id	Contact no.	Work Exp. in years	Role in the venture
1	Name	Phone	Phone	Phone	Phone

Venture Details:

1) Vision of Product or Service:In 5 lines, explain the BHAG (big hairy audacious goal) of the company (tactical goals even milestones^*:

For more information on BHAG, visit https://www.youtube.com/watch?v=RtNtdUqHQsA

2) Problem that the product or service intends to solve / help to solve^*:

a) Who are the target audience and what are the critical problems you are solving (Who will buy these products or services and why will they do so?) maximum 150 words^*:

b) Need to include a write up on how the intended customers of the services or product solve their problem described above, Currently maximum 100 words^*:

3) Solution Details:Include detailed description of the solution/s for a critical success factor (Basically what is your product/service, what does your product do /service do and what capabilities your product/service have) maximum 250 words^*:

4) Critical success factors – Mention at least 2-3 areas which should be focused more (remaining areas can have errors) which will allow your start up to succeed but errors in those 2-3 areas will sink your startup^*:

5) How will you make money, both in long and short-term - Proof points: how have you validated these assumptions? In simplicity you need to explain - How will the product/service be promoted and sold/offered? maximum 250 words^*:

6) Your differentiator (In one line, how this start up idea is 10 times better vs competition at solving a problem in an aspect that is important to consumers)

Explanation of why others aren’t and can’t do this - Answer: why you?maximum 250 words^*:

7. Business Plan/Presentation about your company/idea?

Attach document / if any

8. Any other details which would help in evaluating your application: Internship done/Work experience related to your idea^*:

Declaration :

We hereby agree that the declaration and facts in the application are true and best to our knowledge and nothing material has been concealed.

Team member 1

Name^*:

Signature^*:

Team member 2

Name :

Signature :

Annexures required to be sent along with the Application form (If available):

Business Plan copy - latest :

Scan copy of certificate of incorporation (if applicable) :

Memorandum and Articles of Association :

Balance sheet, Profit & Loss statement and Cash Flow statement for 3 years :

Short Resume of founders also include reference in that :

Pictures/ illustration/ working model/ video of product or offerings :

If your facing any issues while filling this form, please contact
Mr. Gaurav Kanthaliya on 9461140098 and email id: gaurav.kanthaliya@iimu.ac.in
Or Ms. Aastha Bhatnagar on 9705650604 and email id: aastha.bhatnagar@iimu.ac.in