Detailed Application Form for Incubation at Vety and Livestock Innovation and

Incubation
Applicants Name Foundation (VLIIF)
Company Details
Registered name of the company
Registered address
Date of registration as private company
CIN Number
GST Number
Website link
Link to social media handles
Product demo/company demo video link, if any
Ownership
Names, Gender, Age of founders
(E.g Akash Sen, M, 35; Riya Rao, F, 32)
Names of Directors of the company with DIN numbers
Number of employees
No of shareholders
Shareholding breakdown (%) by each shareholder
Validation
Stage of venture (Sales/Product Development)
Sales (provide year on year revenue in INR till date)
No of customers, Names of customers
Expression of interest received for future (prospective
Other Key metrics that indicate the potential/traction
customers) in
the market such as pilots, trials, expression of interest
from potential buyers, etc)
Funds
Equity funds raised in the past (For each raise mention
date, name of funder, amount)
Other funds raised (Grants, loans, other sources)
Latest valuation (Date and valuation in INR)
Current monthly cash burn rate (INR)
Total funds required in next one year
Breakdown of proposed Funds requested
utilization from(Manpower,
of funds iHub (INR)
R&D, Marketing, Product Development, Professional
Can you bring in an Investor to invest along with iHub?
services, etc))
If yes, please give names of interested investors
Name the mentors who regularly guide you, areas ofMentors
expertise, duration of engagement, terms of
engagement
Name (whether commercial)
your key Collaborators/Partners
Product
Who is your target customer?
Which HCI related problem faced by the target
customer are youistrying
What to solve?
your solution?
What technology(s)
(Explain are you using/intend
how your product/service solvesto use
the in your
problem)
product/service? What is the role of mentioned
technology in your solution?
 Do you have any patents? (If yes, provide patent
number, status and a one liner on each patent)
Competition
Names of your top 5 competitors
How are you unique vis a vis you’re your competitors
Vision
What is the vision of the company?
What are one year goals of the company?
What are five year goals of the company?
Team
What is the technical and general competence required
Provide detail of technicalinand
thisgeneral
business to succeed?
capabilities of
your team members
Awards/Progress/Gaps
Any national or international awards? If yes, provide
What are your major achievements in last 6-12 months details.
with respect to product development, market discovery,
What are the major setbacks you have seen
customer onboarding, in past 6-
etc?
12 months?
Compliance Issues
Is there any pending /completed law suit against your
Has your company beencompany?
fined/penalized/reprimanded
If yes, provide detailsin
any way by regulatory bodies/government/any other
Have you defaulted on any
relevant financial/legal/secretarial
party? If yes, provide details
filings? If yes,
Any other details/information that provide
may ham details
your
startup/company in future