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The IAN Incubator
A unique public private partnership to create and nurture innovative start-ups and make them profitable and investible companies.

To apply for Incubation at IAN, fill the form given below and attach a small presentation covering the basic aspects of the technology/business. Click here to download a guide on how to make the presentation.

If you want to email/post us the form and the presentation, download the form here
1. Name of Venture: :
 
2. Type of Venture: :
 
3. What stage is your business at? :
     
4. About the Lead Entrepreneur:
Full Name :   Date of Birth :
Educational Qualification :   Past Exp.
(If any)		 :
Phone: : - -   Mobile :
Eg: Country Code - STD Code - Phone No.
Email :   Address :
 
City :   State :   Country :   Pin code :  
 
(We shall use the above address and contact details for all our communication)
     
5. Names of other co-founders/team members, if any
a. Co-Promoter Email Mobile
b. Co-Promoter Email Mobile
     
6. Describe your product/service offered  in 2-3 lines (In not more than 100 words) (Example – What is the proposed product/service offered and what need does it address in the market) :
     
7. What is the industry focus area? :
     
8. Have you registered for Intellectual Property? : :
     
9. Are you willing to relocate for the
period of incubation?		 :
     
10. Upload your Plan :
(max file size 1 MB)
 
Disclaimer:
IAN Incubator does not expect the applicant to share any proprietary or patented information, algorithms or any other Intellectual Property through this application.
Every professional effort would be made by IAN Incubator to treat and handle this information provided here as confidential. However, by signing and applying to IAN Incubator for incubation assistance on this application form, you agree not to make any claim or demand compensation unconditionally in any form, at any point of time, now or any time in future, on the information / technology details provided by you here as trade secret or proprietary intellectual property. This information is required by the IAN Incubator to assess the candidature for the purpose of providing incubation services.

I hereby declare that all the information I have provided is correct. I have also read and understood all the terms and conditions mentioned in the disclaimer section of the application form and I agree by them.
     
 
 
 
 
 
 
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