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Title of the proposed Project*
Name of the Applicant*
First Last
Father's Name*
First Last
Date of Birth*
Mobile Number*
Email*
Enter Email Confirm Email
Gender
Educational Qualification*
Category*
Please specify*
Current Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Permanent Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Profession of the Applicant
Name and Address of the Institution/Organisation
For Students and working Innovator, No Objection Certificate from Head of Institute /Organization is required
Latest Photo*
not less than 6 months old
Accepted file types: jpg, png.
PAN Card Number*
Aadhar Card Number*
Annual Income of the Applicant*
Please upload the copy of the latest Income Tax Returns filed
(Only pdf files of less than 2 MB)
Accepted file types: pdf.
LinkedIn Profile
Is full time into this venture?*
Present Role in the Company
Team Member Details*
(If there are no team members, kindly mention NA)
Name Role in the project/startup Gender Aadhaar No PAN Card No Email ID Contact No Qualification
Brief description of the idea highlighting innovative element
Status of work already carried out (if any) such as*
- Participation in Competitions
- Making a Model
- Provisional Application for Patent
- Paper Presentations
- College Project
- None
Final Outcome/Deliverable of the project*
Science and Working Principle behind the idea*
Who would be the beneficiary of this innovation and why*
Proposed costs (please use INR values only)*
Important Points: 1- Please write your own share in the project cost in 1st row and PRAYAS support sought in 2nd row. 2- Outsourcing Charges for R&D/Design Engg/ Consultancy/Testing/Expert cost 3- For Patent Filing Cost, PCT- Ceiling 10% of the approved project cost 4- For Business Travel and Contingency, ceiling 10% of the approved project cost
Outsourcing Charges Raw Material/Consumables/Spares Fabrication/Synthesis Charges of the Working model or Process Business Travel and Event participation Fees Patent filing Cost Contingency
Project Period in Months*
Not more than 18 months
Please enter a number from 1 to 18.
Activity Details/Work Plan*
Please share the details
Activities Monitorable Milestones Duration (Months)
Have you started your own Venture (start up)?*
- Yes
- No
Please mention the following details about your previous startup(s)
Name of your Startup Your Role in the startup Date of Incorporation Revenue Generated till Date
Have you received financial support / award for your present work from any other sources*
If Yes, Please furnish the details here
Applicant Confirms that he/she has not been a recipient of any NIDHI-PRAYAS or similar support previously for the same innovative concept as proposed in this form. NIDHI-PRAYAS can be used only once.*
- Yes
- No
Applicant is planning to pursue NIDHI- PRAYAS full time with no other concurrent commitments*
- Yes
- No
Applicant confirms that he/she is fully committed to work towards the prototype development for which the support is being sought and should not treat this as a stop gap arrangement to support any other pursuits*
- Yes
- No
Applicant has or is planning to register for the pre incubation or incubation program at the TBI for the entire duration of PRAYAS support*
- Yes
- No
Applicant confirms that if selected for NIDHI-PRAYAS, then they (applicant and their team members) will avail support for their project from only one PRAYAS Centre. If the applicant is found seeking NIDHI-PRAYAS support for the same idea from two different PCs, then the PC reserves right to discontinue the PRAYAS support and appropriate action will be taken on the applicant*
- Yes
- No
Applicant confirms that they will not avail the funding support in parallel for both the schemes i.e NIDHI-PRAYAS and NIDHI - EIR from the same or different centers.*
- Yes
- No
Have you also applied / in process of applying to any other PRAYAS Centre (s) for NIDHI-PRAYAS and/or NIDHI-EIR grant*
If Yes – Please mention the name of the Centre / TBI and the program
Please upload a presentation/idea pitch here
Declaration*
I declare that all the statements made in this application are true, complete and correct to the best of my knowledge and belief. If any information is found false or incorrect, my candidature will stand canceled and all my claims will be forfeited. I have not received any financial assistance for the present proposal from any other agency.
I agree to the privacy policy.

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Indian Institute of Technology Kanpur,
Kalyanpur, Kanpur Nagar,
Uttar Pradesh-208016, India

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STARTUP INCUBATION AND INNOVATION CENTRE, IIT KANPUR

Name	Role in the project/startup	Gender	Aadhaar No	PAN Card No	Email ID	Contact No	Qualification

Outsourcing Charges	Raw Material/Consumables/Spares	Fabrication/Synthesis Charges of the Working model or Process	Business Travel and Event participation Fees	Patent filing Cost	Contingency

Activities	Monitorable Milestones	Duration (Months)

Name of your Startup	Your Role in the startup	Date of Incorporation	Revenue Generated till Date