PRELIMINARY APPLICATION FORM FOR INCUBATEES

Main Promoter Name^*

Contact Number of Promoter^*

Email Id of Promoter^*

Founder PAN^*

Company name^*

Company Registration Number^*

Company Registration Date^*

Type of Company Proprietary^*

Sector^*

Educational qualification^*

Address for Communication ^*

Innovative features/offerings by the start-up ^*

Domain expertise ^*

Work experience^*

Website URL^*

Note : If any of the fields is not applicable currently please mention it as NA