Startup

I agree to these Terms and Conditions.

Name of Business

Tick The Appropriate

Mr.

Ms.

Dr.

Prof.

Full Name

Mobile

Alternative mobile number

About Your business

Type of Business

Briefly describe your business

How long have you been in business?

Legal entity (existing)

Service expected from MUSHROOM WORLD UMBRELLA

Details of your Team

Founding Member Details

1.Name Of Member

Highest Educational Qualification

Address

Phone

Title

Upoad Resume

2. Name Of Member Optional

Highest Educational Qualification Optional

Address Optional

Phone Optional

Title Optional

Upoad Resume Optional

3. Name Of Member Optional

Highest Educational Qualification Optional

Address Optional

Phone Optional

Title Optional

Upoad Resume Optional

Technology Details

Is your business idea depends on application of certain technology, which needs to developed? If so, please briefly describe the same?

Is this technology your own? Or obtained from other sources?

Owned

Obtained

If your own, have you completed technology development? Or what stage you are in the development process? What is the estimated time for completion of the development of the technology?

If technology for your project is provided by another lab or agency, please indicate the name of agency.

What is your arrangement for technology transfer and royalty payment etc with the technology providing source?

Do you envisage any modification to the original technology obtained from the technology-providing agency? Please describe the same with facilities required for customizing the technology obtained.

Do you have markets export market for your products / services

Yes

Have done any research or survey to validate your assumption on this?

Yes

Do you need technology development and research assistance?

Yes

Do you have go global for producing your products or offering your services?

Step 6

References:(Give two references here, verification will be done after completion of the selection process)

1. Name of the Reference

Organization / Designation

Address

Phone

2. Name of the Reference

Organization/ Designation:

Address

Phone

Declaration:

The information that I/we have provided is correct. I further declare that the information that I have provided here with are not proprietary in nature and that I would not make any claim on same. I have also read and understood and accepted the terms and conditions set forth in the disclaimer in the beginning of this application.

Date

Place

About Your business

Details of your Team

Founding Member Details

More About Your Business

Technology Details

Step 6