A1. Name of Applicant

First Name*

Last Name*

A2. Upload a passport size photo* (jpg format)(Max file size-5mb)

A3. Current Address*

A4. Permanent Address*

A5. Address Proof* (jpg format)(Max file size-5mb)

A6. Category*
GeneralSCST

A7. Are you currently in Pune*
YesNo

A8. Email*

A9. Mobile*

A10. Alternate Number*

A11.Date of Birth

A12. Gender*
MaleFemale

A13. Aadhar Card No*

A14. Attach Aadhar Card* (Max file size-5mb)

A15. Attach proof of Indian Citizenship* (Max file size-5mb)

B1. Current Career Status*
StudyingEmployedUnemployedStart-Up FounderOther

B2. Basic undergraduate training/education*

B3. Any experiences relating to entrepreneurship, leadership, fund raising, organizing activities/ events etc*

B4. Attach CV or Resume in pdf format with details of education and work experience, if any (in prescribed format)* (Max file size-5mb)

C1.Please describe the technology for which you are seeking market opportunities or market for which you are seeking technology opportunities.*

C2. Please highlight innovative elements in your technology and also show the comparison with the existing similar product. *

C3. Specify applications of the technology. *

C4. Please specify quarterly milestones that you will achieve if supported under this programme.*

C5. Select any categories that may apply*
Technology business ideas with larger technology uncertainties and/ or long gestation periodsTechnology business ideas leveraging technology or IP from publicly funded research or academic organizationsTechnology business ideas with considerable potential for social impact.

D1. Applicant confirms that he/she has not been a recipient of the NIDHI-EIR previously. NIDHI-EIR can be used only once.*
YesNo

D2. Applicant is planning to pursue NIDHI-EIR full-time with no other concurrent commitments.*
YesNo

D3. Applicant confirms that he/she will not be in receipt of any other remuneration or fellowship during the duration of the NIDHI-EIR.*
YesNo

D4. Applicant confirms that he/she is fully committed to exploring a business idea. NIDHI-EIR support recipient should not treat this support as a stop gap arrangement to support them in their academic pursuits or transition between jobs.*
YesNo

D5. Applicant confirms that he/she is not the promoter or significant (>10%) share holder / beneficiary of another company at the time of applying for and receiving the NIDHI-EIR support.*
YesNo

D6. The NIDHI-EIR has or is planning to register for the pre-incubation or incubation program at Science and Technology Park, Pune for the entire duration of NIDHI-EIR support.*
YesNo

• I confirm that the above mentioned information is true.




• I confirm that I have read and understood the guidelines.




• I confirm that I meet requirements of the programme and shall abide by the rules of the programme.




• I confirm that I shall provide all requested data and information to the Science and Technology Park, Pune and PIP in a timely manner.




• I commit to keeping the Science and Technology Park, Pune promptly informed about all key business related developments including incorporation of company, success in raising grant/equity/other funding etc.




• If selected as NIDHI-EIR, I will avail support under NIDHI EIR scheme from only one NIDHI-TBI for the shortlisted idea.




• I will not avail the funding support from both the schemes i.e NIDHI-PRAYAS and NIDHI - EIR simultaneously, from the same or different NIDHI-TBIs.




• None of my team members will avail support under NIDHI EIR scheme for the project which has already been funded under NIDHI-PRAYAS and/or NIDHI – EIR under any of the current or previous rounds.

By Clicking submit you Agree to the Terms & Conditions
Yes