GUNI-IC Enrollment form

Email *

Startup Name *

Founder Name *

Mobile Number *

Gender *
MaleFemale

Profession *
StudentBusiness PersonProfessionalSalariedHomemaker

Residential Address (Founder) *

Date of Birth (Founder) *

Co-Founder Name *

Date of Birth (Co-Founder) *

E-mail (Co-Founder) *

Mobile Number (Co-Founder) *

Field/Sector of the Innovation Project *

Has the Project been started or yet to start? *
Project yet to StartProject Started on & Expected duration

Projected Cost for Start-Up/Innovative Project

Amount Incurred in the Project till Date

Expenditure required to be incurred
Product Development : 5,00,000/- Marketing : 10,000,00

What kind of facilities do you need/expect from the Nodal Institute? *
LibraryMentoring ServicesPrototype DevelopmentFacilities: Space, Internet, Laboratory etc.Other:

Number of people for whom office space is sought. *
12345

Select anyone *
for Ganpat University Student Select SSIP and other choose NI for Startups/Innovation Scheme
Assistance under Nodal Institutions for the Start-Ups/ Innovation schemeStudent Startup and Innovation Policy (SSIP)

Declaration *
I certify that the information I am about to provided is true and complete to the best of my knowledge.

Date *

A copy of your responses will be emailed to the address that you provided.

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