Ritesh Rajendraprasad Mishra

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Application Form for Incubation Program

Name of the Founder/Promoter*

Gender*

Male
Female
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Age

E-mail*

Mobile Number*

City*

State*

Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
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Education

College/Institution?

Address*

Name of the Company/Startup/Idea*

Social Media Account

Website

Is your Startup Registered?*

Yes

No

Startup Registered Date

Team Size*

Sector

Agri-Tech
Design/ Architecture
Electric Vehicle/ Mobility
Energy/ Power
Food/ Health/ Elderly Care
Hospitality/ Entertainment
HR and Ed-Tech
IoT/ Automation/ AI
ITeS/ Web/ SaaS
Personal Care
Waste/ eWaste Mgmt
Other

Stage of Startup Idea*

Ideation

Prototype

Pre Revenue

Already In Market

What Problem are you solving?*

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What is your Solution?*

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Do you have Patent?*

Yes

No

If yes please provide the Patent number?

Target Customers

Do you have paying customers?*

Yes

No

If Yes, What is the revenue generated till date?

.How did you find us?*

Magic Events

Social Media

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If Social Media, please select the platform

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About Us
Incubation
Programs
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Home
About Us
Incubation
Programs
Portfolio
Ecosystem
Events
- Upcoming Events
- Past Events
Media

Home
About Us
Incubation
Programs
Portfolio
Ecosystem
Events
- Upcoming Events
- Past Events
Media

Home
About Us
Incubation
Programs
Portfolio
Ecosystem
Events
- Upcoming Events
- Past Events
Media

Team

Home Team Ritesh Rajendraprasad Mishra

Ritesh Rajendraprasad Mishra

DIRECTOR

Address: Chamber of Marathwada Industries & Agriculture – CMIA Building,
Plot No. 2, Bajaj Bhavan, Station Road, Aurangabad – 431005

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