application for agripreneurship orientation programme yoch

Application for Agripreneurship Orientation Programme YOCH-2019

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ACHARYA N.G. RANGA AGRICULTURAL UNIVERSITY

REGIONAL AGRICULTURAL RESEARCH STATION, TIRUPATI - 517502

RKVY-RAFTAAR ABI'S SCHEME SUPPORTED AND FUNDED PROJECT

"ANGRAU-AGRI INNOVATIONS AND ENTREPRENEURSHIP DEVELOPMENT CELL"

ANGRAU POSHAN INCUBATOR

YOCH – 2019

Application for Agripreneurship Orientation Programme

Note to the applicant: Don’t edit or delete any portion in this application and please fill the

details in the given format. If you wish to add additional information, please furnish at the end

of this application form in separate section. Please read the details carefully in the guidelines

given in the website www.angraurabitpt.org

LAST DATE OF APPLICATION: 14/08/2019

1. GENERAL INFORMATION

1.1 Applicant’s Name Mr./Ms./Dr. ___________________________________________________

1.2 Age (Years): _____

1.3. DOB (DD/MM/YYYY): ___/___/________

1.4. Gender :__________

1.5. Address for correspondence: ____________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Please affix

recent passport

size photograph

For Office use only

Date Received:

Reference No:

http://www.angraurabitpt.org/


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1.6. Mobile:___________________________ Alternative number _________________________

WhatsApp Number___________

1.7. Email ID:__________________________ Alternate email ID ________________________

1.8. Native State:__________________________________

1.9. Educational Qualifications:

SI.No Qualification Course Details Year of Passing 1. Secondary School

2. Higher Secondary School or 10+2

3. Graduation

4. Post-Graduation

5. PhD

6. Other Academic Qualifications

1.10. Professional Experience:__________ (No. of years)

1.11. Applicant/ Team details: Please tick () the applicable option

a. Individual: Yes No

b. Applicant representing a Team / Company Yes No

If applicant representing a Team / Company then the following details to be furnished:

S.

No Name Gender Educational

Qualification Experience

(Years) Current

Profile Role in the

proposed idea /

startup

**Note: Please furnish the details in Annexure I given in this application form and duly get the

signatures accordingly

1.12. Do you have any startup at present? If yes Please furnish the details.


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2. INNOVATIVE IDEA DETAILS:

2.1 How did this idea generated?

2.2. Basis for your idea:

2.3. Which sector does your idea/product/service belongs to: (Please Note: Please pick the

suitable sectors which are given in the YOCH – 2019 Poster. If it is different from the areas given,

please indicate it.)

2.4. How long will it take for this idea to completely develop into prototype?

(Please tick ( ) the applicable option)

Already in active use now Please tick

1 – 6 months

7 – 12 months

12+ months


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2.5.Please explain your innovative idea in brief: Idea / description: Intended product or service (Define

scope carefully).

2.5.1. Name of the technology:

2.5.2. What is it? (Machinery/ Equipment / new process/new material or any other).

2.5.3. What does it do? (Use simple and non-technical terms).

2.5.4. What problem does it solve?

2.5.5. Who is the primary customer of your innovative idea?


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2.5.6. Explain USP (Unique Selling Proposition) of your product? Please focus on “benefits” rather

than “features” of the technology.

2.5.7. Does your technology have any Intellectual Property protection? If not, what is your plan to

protect your technology from competitors?

2.5.8. Does your idea work towards innovation, development or improvement of products

or processes or services?

2.5.9. Is your innovative idea is a scalable business model with a high potential of

employment generation or wealth creation.

2.5.10. Is your Idea / product already available in the market?


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2.5.11. How much money you intend to invest in this business?

2.5.12. What is your market strategy for your idea based product?

2.5.13. Did you conduct any Market survey? If yes, please give details:


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3. EXECUTIVE SUMMARY / BRIEF OVERVIEW OF YOUR INNOVATION/ PRODUCT/

TECHNOLOGY (In not more than 500 words, Please attach a separate sheet of paper if the space

provided here is not sufficient).


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4. PROPOSED STARTUP DETAILS:

4.1. Are you intended to setup a new Agri startup?

Have you registered your start up?

Yes No

If yes, please furnish the details.

4.2. Where would you want to establish your startup?

4.3. How many employees would you require for your proposed new startup?

4.4. Explain your proposed start up business model.

4.5. What is the basic infrastructure that you require in developing your idea (for

production)?

4.6. The final product which will come out of your idea is a Raw material or consumable?


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4.7. Status of your product development / path to market process?(Please tick ( ) the

applicable option)

Description Select Concept- Idea stage

Proof of Concept: Some experiments done. Preliminary proof of concept exists.

Prototype: Several proofs of concept demonstrated.

Pilot: Minimum Viable Product (MVP): Pre-commercialization use. Prototype made and

performance claims tested, trials have been done on sufficient scale to demonstrate interest of

potential customer.

Production: Commercially ready. Real life testing conducted by potential customers. Product is

ready for commercial sales.

4.8. Do you require any specific raw material to bring your idea into final product? If yes,

please furnish the full details.

4.9. What is the overall estimated cost of developing your idea/ product and bringing into

the market?


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5. COMMERCIAL AND EXISTING TECHNOLOGY LANDSCAPE

5.1. What is the competitive advantage of your technology with respect to existing

products/services/technologies in the market today?

5.2. Have you done Market assessment with regard to size and growth? Please give an

estimate of your target market segments.

5.3. Who are your major competitors?

5.4. What are the key risks/ barriers that you face in bringing your idea/ technology to the

market? Please explain (Technical/ manufacturability, Freedom to operate, Regulatory,

compliance, finance, scale of investment barriers, team etc.)

5.5. Other reasons (besides commercial) for your idea / technology attractiveness–strategic,

social impact etc.


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6. OTHER DETAILS :

6.1. Have you presented this idea/ technology elsewhere? If yes, please give the details.

6.2. Did you receive any awards or certificates for presenting this idea? If yes, please give

the details.

6.3. Does your business idea depend on application of certain technology which needs to be

developed? If so, Please briefly describe the same?

6.4. Is this technology your own? Or obtained from any other sources?

6.5. Is your technology an outcome of academic research / any other research / idea of team

work? If Yes, Please furnish the full details.


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7. FACILITIES EXPECTED FROM THE INCUBATOR:

7.1. What are the services you would like to avail from ANGRAU Poshan Incubator?

Services Please tick Details, if any

Office space

Production space

Capacity building

Mentoring

Funding support

Technical Assistance

IP facilitation

Lab facilities

Licensing and registration

Any other facilities

7.2. Have you sought collaborations with any Government agencies / Private companies for

your idea development?

8. ARE YOU READY TO ATTEND THE EIGHT WEEKS OF RESIDENTIAL PROGRAM AT

ANGRAU AIED CELL, RARS, TIRUPATI? (Please tick () the applicable option)

Yes No

9. HOW DID YOU GET TO KNOW ABOUT THE YOCH 2019 PROGRAM?

(Please tick ( ) the applicable option)

ANGRAU Website Facebook Notice board of your

organization

Your own institute

website Twitter Exhibition

Print Media-

Newspaper Emailer Brochure

Any Other Website Reference from a

person Posters


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10. ANYTHING ELSE YOU WOULD LIKE TO SHARE ABOUT YOUR IDEA,

DREAMS, NEEDS AND EXPECTATIONS?

Note: **Please do not include any confidential information while describing any aspect of your

technology, your company, or your business plans in this application.

DISCLAIMER

Selection to the YOCH – 2019, Agribusiness Orientation Programme does not automatically

ensure the grant-in-aid support. The decision to that will finally depend on appropriate Selection

Committee. The proposals will be sent to the Ministry of Agriculture and Farmers Welfare, Government

of India for pre seed stage funding. The decision of the appropriate committee will be final and binding

Every effort will be taken to treat and handle this information as confidential. However

by signing and applying to Agripreneurship Orientation Programme (YOCH – 2019), you agree

not to make any claim or demand compensation in any form, at any point of time, on the

information or technology details provided by you as Trade Secret or Proprietary Intellectual

Property. This information will be used by YOCH – 2019 to assess your application for the

purpose of providing available funding facility. Furthermore, YOCH – 2019 does not guarantee

acceptance of your proposal until and unless the selection process is over and YOCH – 2019 has

the right to reject any proposal at any point of time without assigning any reason to it. The

decision of YOCH – 2019 will be final and no explanation or justification for any aspect of the

selection process shall be given.


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DECLARATION

I hereby certify that the information provided above are true and correct to the best of my

knowledge. I understand that any false statement may disqualify me from the YOCH – 2019

even after the selection for Pre-seed stage funding. I have gone through all the guidelines present

in the website www.angraurabitpt.org and hereby declare that I will abide by the set forth

guidelines from time to time.

Date: Signature

Place: (Name)

The filled in application along with all the required documents need to be sent to the below address

on or before the last date by Registered post.

Address:

To

The Principal Investigator & Chief Executive Officer, ANGRAU Agri Innovations and Entrepreneurship Development Cell,

ANGRAU Poshan Incubator,

Regional Agricultural Research Station,

S.V.Agricultural College Campus, Chandragiri Road,

TIRUPATI– 517502.

Andhra Pradesh

***

http://www.angraurabitpt.org/


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ANNEXURE - I

Authorization Letter (To be submitted by applicant representing a Team/ Company)

To,

Principal Investigator – Chief Executive Officer,

ANGRAU Agri Innovations and Entrepreneurship Development Cell,

ANGRAU Poshan Incubator,

Regional Agricultural Research Station,

S.V.Agricultural College Campus, Chandragiri Road,

Tirupati, Andhra Pradesh – 517502.

Subject: Letter for Authorized Signatory

Dear Sir,

With reference to our Application for YOCH – 2019, Agripreneurship Orientation Programme,

Mr. /Miss/Mrs. _______________________________________ is hereby authorized to submit

the application on behalf of M/s.________________________________________________

(Company Name).

If the Team or Company is a registered body, then the authorizing person has to put up the

signature. Name of the representative : _________________________________

(Signature of Representative) :__________________________________

Signature of Authorizing Authority :_________________________________

Name of Authorizing Authority and Designation: _________________________________

Company Seal:

If the Team or Company is not a registered body or unorganized group, then the signatures

of all the team members have to be specified, for the details as given by the representative

in the Section 9b of this application:

SI.No Name Address Signature


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ANNEXURE - II

Documents to be furnished: (duly self-attested photocopy shall be provided)

Sl.

No

.

Documents Required

Please tick against the

respective documents

you have attached

1

Identification Proof viz. Aadhaar card/Passport /PAN card/Company

Registration Certificate/GST Certificate / Any Government authorized

Certificate

2 Electricity/Mobile/Telephone Bill/Driving License etc. stating the

address

3 Passing Certificate in support of Educational Qualification

4 Experience Certificates from respective Employer regarding Work

Experience

5 Certificate of Prize/Awards w.r.t your Technology/Business Idea if any

6 Details of Intellectual Property filed/granted (if any)

7

Self-declaration from the incubatee about non-receipt of grant-in-aid

funding from other Govt. of India ministries for the same

activity/product

In case of Team/Company following documents also need to be furnished in addition to

above:

SI.

No Supporting Documents Required

Please tick

against the

respective

supporting

documents you

have attached

1 Authorization Letter to be submitted by applicant representing a Company (as per Annex. II)

2 Self-attested Copy of Startup India DIPP registration

(if company is registered)

3 Self-attested Copy of GST Registration or GST exemption certificate/PAN

Card (in the name of company)

4

Electricity/Telephone Bill or any other supporting document stating the

address of company duly certified by the Authorized Representative of the

Company

Name:

Signature: