OPEX Support for Incubators

Uttar Pradesh : Fostering a Startup and Innovation ecosystem

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Host Institute Details

Name of Host Institute
Address of Host Institute
Pincode
Year of Establishment:
Telephone
Website
Fax

Head of Host Institute Details

Name
Designation
Contact Number
Email
Incubator Type

Incubator Details

Brief Incubator Profile
Year of Establishment
Total Area of Incubator
Area of Expansion
Tenure of Incubation Period permitted to incubates Months
Sector
Thrust Areas
Details about Existing Partnerships and Collaboration with Other Organizations for Existing Incubator

Structure of Incubator

An incubator must be a registered entity falling under one of the following categories. Please provide details, accordingly

Other Sources of funding for Incubator

Please provide the details about the other sources from where funding has been raised or is proposed to be raised from for the Existing/New Incubator

Authorized Representative Details of (New/Existing) Incubator

Name of Authorized Representative
Designation of Authorized Representative
Mobile No. of Authorized Representative
Email id of Authorized Representative

Operational Expenditure

Total Operational expenditure (INR) for FY 20..
Total deficit amount (INR) of the operational expenditure
Covering Letter (Max file size 30MB.)
Annexures (supporting documents) (Max file size 30MB.)

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