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AIP Programs
a. Innovation & Partnership (INP)
b. Agri-Business Incubation (ABI)
c. NutriPlus Knowledge (NPK)
1.Company Particulars
Name
*
Address
*
Telephone
*
Fax
*
Email / Website
*
Note:
In the case of a foreign firm or a company in formation, the local contact address and telephone number should be given, where possible
2.Company Registration
(i) Capital Structure (for limited company)
Place and date of incorporation
*
Authorized Capital
*
Paid-up Capital
*
Fax
*
Note:
Please enclose a copy of your Certificate of Incorporation, the Memorandum and Articles of Association and latest audited accounts.
(ii) Details of the Sole Proprietorship/Partnership/Shareholding
Names of partners
*
Place and date of Establishment
*
Note:
Please enclose a copy of your Certificate of Registration Form showing the particulars of the sole proprietorship / partnership.
3.Promoters Profile
Name
*
Designation
*
Experience
*
Address
*
4.Nature of Business proposal in Agribusiness and Innovation Platform (AIP)- ICRISAT
Objective
*
Uniqueness of technology (Product / Process)
*
Market potential
*
Time span for commercialization
*
Support &Services needed from AIP
*
5.Nature of Business
(iii) Nature of business of the parent company or group (if applicable)
*
6.Annual Turnover (Estimate (US$) Previous year
Annual Turnover of proposal in Agribusiness and Innovation Platform (AIP)
Annual Turnover of parent company or group
7.Proposal of investment in new venture at Agribusiness and Innovation Platform(AIP)
Existing
Proposed
8.Details of requirement
(i) Rental space ( Net floor space (sq.m) )
Office
Laboratory
Others
Total space required
(ii) Other facilities required
(iii) Expected date of moving into Agribusiness and Innovation Platform (AIP)
9.Any other relevant information
10.Enclose reference letter from
a) A Gazatte Officer and b) Enterprising entrepreneur with signature,
contact number and address.
11.Declaration
I declare that all the information stated in this application and the attachments are true.
Date
Name
Designation
Signature
12.Upload Supporting documents
Company registration/ certificate of incorporation
Identity proof
Residence proof
Bank document
Copies of partnership/ joint venture agreement
Provide particulars of all intellectual property owned or used by the company or any subsidiary, whether registered or unregistered or pending,
zip above documents and upload!
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