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Application Form
Fill below application. All our registered investors will review and invite you if they like your business idea.
You can also fill application offline.
Click here to download
application. Fill online and send to info@iglowsoft.com
If you are an investor and searching for startup entrepreneurs, contact us at info@iglowsoft.com or call us at 8248876179
Name of Business :
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Details of Lead Entrepreneur
Full Name :
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Your Mobile Num :
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Father Name :
Age :
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Residence Phone Number :
Office Phone Number :
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Postal Address/Residential Address :
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E-Mail
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City :
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Postal Code :
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State/Country :
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Gender of the Primary Promoter :
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Male
Female
Educational Qualification
Highest Qualification :
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Year of Passing :
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Grades Obtained :
Area of Specialization :
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Research experience :
Name of Institute/University :
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About Your business :
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Business Details
Services :
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High Technology :
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Briefly describe your business :
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Website :
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How long have you been in business ?
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Conceptual Stage
Less than a year
Less than 5 year
More than 5 years
Current turnover (Revenue) :
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Legal entity (proposed) :
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Proprietorship
Partnership
Corporation
Private
Partnership
Sole
Product/Service Offered :
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Have they filed for any patents, trademarks, copyrights (If so, please provide details) :
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Have they won any awards in start-up competitions, innovation competitions etc ? Have they been featured in the media ?
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We need a 2 to 3min corproate YouTube video of their start-up (what is the problem they are addressing, how is their product/solution unique?, why should people buy their product or service, what sort of people will benefit most etc) ?
Service expected from investors :
Telephone
Fax
Shared laboratories access
Business Consulting service
Use of conference rooms
Parking
Secretarial services
Advisory services
Investment banking
Legal
Accountancy services
Branding and marketing
Details of your Team
No. of Full Time Employees :
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No. of Part Time Employees :
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Consultants :
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More on Promoter/Team Details :
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How many employees are they add to next year :
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Important
Write a statement of purpose on why you want to become an entrepreneur.
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Statement of Purpose of Recommendation Letter & your Innovation idea brief.
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List the name(s) of the principal(s)/co-promoters/employees :
1. Title: 2. Name: 3. Educational Qualification: 4. No of years of experience: 5. Address: 6. Phone: 7. Email:
Write a brief note about your product or service.
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Do you/your team members have any previous business experience ? If yes, how many years ?
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How do you think your past experience is going to help you in this new venture?
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Have you estimated and identified your seed funding needs/ source ?
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Do you need any machinery or capital item for starting of your venture ? If yes, please specify the same with the purpose.
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Have you estimated your Project cost? If yes, please give the break-up, as below.
Pre-operative expenses Rs.
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Prototype Development Rs.
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Test marketing Rs.
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Equipment Rs.
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Working Capital Rs.
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Other Requirements Rs.
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Total Rs.
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Have you done market survey ? If yes, briefly describe the method and results.
Describe your target market :
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Describe your Business plan :
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Technology Details :
Is your business idea depends on application of certain technology, which needs to developed ? If so, please briefly describe the same ?
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Is this technology your own ? Or obtained from other sources ?
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If your own, have you completed technology development ? Or what stage you are in the development process ? What is the estimated time for completion of the development of the technology ?
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Do you need technology development and research assistance ?
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If technology for your project is provided by another lab or agency, please indicate the name of agency.
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What is your arrangement for technology transfer and royalty payment etc.. with the technology providing source ?
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Do you envisage any modification to the original technology obtained from the technology-providing agency ? Please describe the same with facilities required for customizing the technology obtained.
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Do you have export market for your products / services ? If so, which nations / regions ?
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Yes
Have done any research or survey to validate your assumption on this ?
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Do you have plans to go global for producing your products or offering your services ? if yes justify.
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Yes
How did you learn about RemoHost ?
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References : (Give two references here, verification will be done after completion of the selection process)
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1.1. Name of the Reference: 1.2. Organization/ Designation: 1.3. Address: 1.4. Phone: 1.5. Email: 2.1. Name of the Reference: 2.2. Organization/ Designation: 2.3. Address: 2.4. Phone: 2.5. Email:
Declaration :
The information that I/we have provided is correct. I further declare that the information that I have provided here with are not proprietary in nature and that I would not make any claim on same. I have also read and understood and accepted the terms and conditions set forth in the disclaimer in the beginning of this application.
Date :
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Place :
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Please check whether you have filled in all the details and attached all the relevant information as described/required here.
List of Attachment along with Application to be sent to Incubator :
1. Copy of Company Incorporation certificate (If Registered the Company)
2. List of partners / directors, shareholders (If Registered the Company)
Call/WhatsApp
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