agriinvo 2019 busine… · application for agribusiness incubation programme agriinvo-2019 2019...

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AgriInvo-2019 Application for Agribusiness Incubation Programme AgriInvo-2019

ACHARYA N.G. RANGA AGRICULTURAL UNIVERSITY

REGIONAL AGRICULTURAL RESEARCH STATION, TIRUPATI - 517502

RKVY-RAFTAAR ABI'S SCHEME SUPPORTED AND FUNDED PROJECT

"ANGRAU-AGRI INNOVATIONS AND ENTREPRENEURSHIP DEVELOPMENT CELL"

ANGRAU POSHAN INCUBATOR

AgriInvo – 2019 Application for Agribusiness Incubation Programme

Note: Don’t edit or delete any portion in this application and fill the details in the given format only.

Please use additional sheet wherever required and read the guidelines carefully given in the website

www.angraurabitpt.org

Last date to apply : 14/08/2019

1. General Information

1.1. Applicant’s Name: Mr./Ms./Dr._______________________________________________________

1.2. Age (Years): _____

1.3. DOB (DD/MM/YYYY): ___/___/____

1.4. Gender:__________

1.5.Address for Correspondence:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

____________________________________________________________________________

Please affix

recent passport

size photograph

(For Office use only)

Date Received:

Reference No:

http://www.angraurabitpt.org/

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1.6. Mobile:___________________ Alternative number: _______________

WhatsApp Number:___________

1.7. E-mail :____________________________________Alternate Email ID: ________________________

1.8. Native State:__________________________________

1.9. Educational Qualifications:

SI.No Qualification Course details Year of Passing

1. Secondary

2. Higher Secondary School or 10+2

3. Graduation

4. Post-Graduation

5. PhD

6. Other Academic Qualifications

1.10. Professional Experience:__________ (No. of years and furnish the full details)

1.11. Team Details:

SI.

No Name Gender Highest

Qualification Experience

(Years) Current

Profile Role in the

startup

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2. STARTUP DETAILS:

2.1. Have you registered your startup company? (Please tick () the applicable option): Yes/ No

2.2. Name of the firm:

2.3. What is the legal status of the entity you have formed? (Please tick () the applicable option)

Sole

Proprietorship Partnership Limited

Liability

Partnership

Private

Limited

Company

2.4. Registered Address of the startup company:

___________________________________________________________________________________________

___________________________________________________________________________________________

____________________________________________________

Website:______________________________ email: _____________________________________

Office Phone No.:____________________________ Mobile:______________________________

2.5. Year of Establishment:______________

2.6. Type of Business: Manufacturing/Services/High technology/Others (If others please specify and give

details)

2.7. Do you/your team members have any previous business experience? If yes, Please give details?

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2.8. How do you think your past experience is going to help you in this new venture?

2.9. Who are your potential customers? What marketing tools will you use to sell your products or

services?

2.10. Have you incubated your present startup in any of the incubation/ institution/ company? If yes,

provide full details along with address and kind of support received by your startup from the incubator. .

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3. INNOVATION / PRODUCT / TECHNOLOGY / SERVICE DETAILS:

3.1. Which sector does your Innovation / product/ technology belongs to?

3.2. Does your business idea depend on application of certain technology which needs to be developed? If

so, Please briefly describe the same.

3.3. Is this technology your own? Or obtained from any other sources/institution/university / abroad?

Please give full details.

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3.4. Where are you in your Innovation / product/ technology development / path to market process?(Please

tick ( ) the applicable option)

Description Select (Please tick

the applicable

option)

Concept- Idea stage

Proof of Concept: Some experiments done. Preliminary proof of concept exists.

Prototype: Several proofs of concept demonstrated.

Pilot: Minimum Viable Product (MVP):Pre-commercialization use. Prototype

made and performance claims tested, trials have been done on sufficient scale to

demonstrate interest of potential customer.

Production: Commercially ready. Real life testing conducted by potential customers. Product is ready for commercial sales.

3.5. How long will it take for this innovation/technology to completely develop and ready for the market?

(Please tick ( ) the applicable option)

Already in active use now

1-6 months 

7-12 months

12+ months

3.6. Please explain your Innovation in brief: Innovation / Product / Technology / Services Description:

Intended product or service (Define scope carefully).

3.6.1. Name of the product/ technology:

3.6.2. What is it? (Machinery/ Equipment / new process/ new material or any other). Please give

details:

3.6.3. What does it do? (Use simple and non-technical terms). Please give details:

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3.6.4. What problem does it solve?

3.6.5. Who is the primary customer of your innovation / product / technology / services?

3.6.6. Explain USP (Unique Selling Proposition) of your product? Please focus on “benefits” rather

than “features” of the technology.

3.6.7. Does your technology have any Intellectual Property (IP) protection? If yes, Please

furnish the details. If not, what is your plan to protect your technology from competitors?

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3.6.8. What are the key risks/ barriers that you face in bringing your technology to the market?

Please explain (Technical/ manufacturability, Freedom to operate, Regulatory compliance,

finance, scale of investment barriers, team etc.)

3.6.9. Other reasons (besides commercial) for your technology attractiveness–strategic, social

impact etc.

3.6.10. Have you applied for any other funding for this prototype before or at present?

3.6.11. Share a link to the video describing your venture idea in less than a minute (if available).

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4. EXECUTIVE SUMMARY/BRIEF OVERVIEW OF YOUR NEW INNOVATION, PRODUCT AND BUSINESS YOU ARE

PROPOSING NOW FROM YOUR STARTUP (IN NOT MORE THAN 500 WORDS, PLEASE ATTACH A SEPARATE SHEET IF

REQUIRED)

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5. BUSINESS INFORMATION

5.1. Potential partners to engage with; government, foundations, industry linkages etc.

5.2. Please list any customers and sales as on to date (if any):

5.3. Give details about existing commercial and technology landscape.

5.4. What is the competitive advantage of your product/ technology with respect to existing

products/services/technologies in the market today?

5.5. Give details on Market assessment: Size and growth. Please give an estimate of your target market

segments.

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5.6. Have you done any research or survey to validate your assumption on this?

5.7. Have you estimated the project Cost? If Yes, Please furnish the following details:

Description Amount (Rs.)

Pre-Operative expenses

Prototype development

Test Marketing

Equipment

Working Capital

Administrative expenses

Miscellaneous expenses

Net Profit

(*Note: Please attach the photo copy of audited balance sheet statement, if available)

5.8. Have you estimated and identified your seed funding needs and source?

5.9. Have you received any funding from Government agencies or any other private sources? If yes please

furnish the details of the same.

5.10. How much money have you invested in this business?

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6. FACILITIES AND SERVICES EXPECTED FOR THE INCUBATION:

6.1. What services you would like to avail from this program AgriInvo-2019 at ANGRAU Poshan

Incubator?

Services Please tick Details (if any)

Office space

Production space

Business consultancy services

Mentoring

Funding support

Technical Assistance

IP facilitation

Lab facilities

Licensing and registration

Any other facilities

6.2. Anything else you would like to share about your enterprise, dreams, needs and expectations?

6.3. Are you ready to attend the eight weeks of residential program at ANGRAU Poshan Incubator, AIED

Cell, RARS, Tirupati? (Please tick () the applicable option)

Yes No

6.4. How did you get to know about theAgriInvo-2019Incubation Program? (Please tick () the applicable

option)

ANGRAU Website Facebook Notice board of your organization

Your own institute

website Twitter Exhibition

Print Media-

Newspaper Emailer Brochure /Poster

Any Other Website Reference from a person

Startup India Website

Note: **Please do not include any confidential information while describing any aspect of your technology, your

company, or your business plans in this application.

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DISCLAIMER

Selection to the AgriInvo – 2019, Agribusiness Incubation Programme does not automatically

ensure the grant-in-aid money. The decision to that will finally depend on appropriate Selection

Committee. The final proposals will be sent to the Ministry of Agriculture and Farmers’ Welfare,

Government of India for Seed stage funding. The decision of the appropriate committee will be final and

binding.

Every effort will be taken to treat and handle this information as confidential. However by

Signing and applying to Agribusiness Incubation Programme (AgriInvo – 2019), you agree not to make

any claim or demand compensation in any form, at any point of time, on the information or technology

details provided by you as Trade Secret or Proprietary Intellectual property. This information will be

used by AgriInvo – 2019 to assess your application for the purpose of providing available funding

facility. Furthermore, AgriInvo – 2019 does not guarantee acceptance of your proposal until and unless

the selection process is over and AgriInvo – 2019 has the right to reject any proposal at any point of time

without assigning any reason to it. The decision of AgriInvo – 2019 will be final and no explanation or

justification for any aspect of the selection process shall be given.

DECLARATION

I hereby certify that the information provided above are true and correct to the best of my

knowledge. I understand that any false statement may disqualify me from the AgriInvo – 2019 even

after the selection for Seed stage funding.

I have read all the guidelines present in the website www.angraurabitpt.org and hereby declare

that I will abide by the set forth guidelines from time to time.

Date: Signature

Place: (Name)

http://www.angraurabitpt.org/

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DECLARATION

(For the applicants who haven’t availed funding from any sources) I hereby declare that I have not received any funding from government or any other sources for this firm

and also certify that I/We are not an incubatee of any other R-ABI.

Date: Signature

Place: (Name)

The filled in application along with all the required documents need to be sent to the below address on or

before the last date by Registered post.

Address:

To Principal Investigator & Chief Executive Officer,

ANGRAU Agri Innovations and Entrepreneurship Development Cell,

ANGRAU Poshan Incubator,

Regional Agricultural Research Station,

S.V. Agricultural College Campus, Chandragiri Road,

TIRUPATI– 517502.

Andhra Pradesh

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ANNEXURE - II

Authorization Letter (To be submitted by applicant representing a Team/ Company)

To,

Principal Investigator – Chief Executive Officer,

ANGRAU Agri Innovations and Entrepreneurship Development Cell,

ANGRAU Poshan Incubator,

Regional Agricultural Research Station,

Tirupati, Andhra Pradesh – 517502.

Subject: Letter for Authorized Signatory

Dear Sir,

With reference to our Application for AgriInvo-2019, Agribusiness Incubation Programme, Mr.

/Miss/Mrs. _______________________________________ is hereby authorized to submit the

application on behalf of M/s.________________________________________________ (Company

Name).

If the Team Or Company is a registered body, then the authorizing person has to put up the

signature. Name of the representative: _________________________________

(Signature of Representative) __________________________________

Signature of Authorizing Authority _________________________________

Name of Authorizing Authority and Designation: _________________________________

Company Seal:

If the Team or Company is not a registered body or unorganized group, then the signatures of all the

team members have to be specified, for the details as given by the representative in the Section 9b of this

application:

SL.

No.

Name Address Signature

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ANNEXURE - III

Documents to be furnished: (duly self-attested photocopy shall be provided)

SL.

No. Documents Required

Please tick against

the respective

documents you

have attached

1

Identification Proof viz. Aadhaar card/Passport /PAN card/Company

Registration Certificate/GST Certificate / Any Government authorized

Certificate

2 Electricity/Mobile/Telephone Bill/Driving License etc. stating the

address

3 Passing Certificate in support of Educational Qualification

4 Experience Certificates from respective Employer regarding Work

Experience

5 Certificate of Prize/Awards regarding your Technology/Business Idea if

any

6 Details of Intellectual Property filed/granted (if any)

7

Self-declaration from the incubatee about non-receipt of grant-in-aid

funding from other Govt. of India ministries for the same

activity/product

In case of Team/Company following documents also need to be furnished in addition to above:

SL

.

No

Supporting Documents Required

Please tick against the

respective supporting

documents you have attached

1

Authorization Letter to be submitted by applicant representing a

Company (as per Annex. II)

2 Self-attested Copy of Startup India DIPP registration

(if company is registered)

3 Self-attested Copy of GST Registration or GST exemption

certificate/PAN Card (in the name of company)

4

Electricity/Telephone Bill or any other supporting document

stating the address of company duly certified by the Authorized

Representative of the Company

Date: Signature

Place: (Name)