1 Start 2 Preview 3 Complete Page 1 of 3 (0%) 1. Select the Seed Funding Scheme of interest * Mark only one oval. BIRAC - LEAP BIRAC - SEED NIDHI - SS AIM - SEED 2. Company name * 3. Company representative's name * 4. Designation in company (the applicant should preferably be the founder/promoter) * 5. Phone * Your application will stand invalid if the phone number provided is wrong 6. Email ID * Your application will stand invalid if the Email ID provided is wrong 7. Full postal address for correspondence * 8. Website 9. Sector/Industry * Mark only one oval. Drug Discovery/Delivery Devices and Diagnostics Biosimilars Regenerative Medicine Vaccines/Biotherapeutics Molecular Medicine/Molecular Biology Pharma Biopharma Nutraceuticals/Nutrition Agriculture Biotechnology Animal/Marine Biotechnology Industrial Biotechnology Environmental Biotechnology Bioinformatics & software (including Artificial Intelligence, Big Data Analysis, IoT, software development etc.) Others Please enter the sector/industry * 10. Brief description of company (100 words) * 11. Brief description of the problem being addressed and the potential impact of the company's technology (400 words) * 12. Brief description of the company's technology/product, including technical details (400 words) * 13. Describe the novelty and innovation of the company’s product(s) (200 words) * 14. Current status of the product(s)/R&D * 15. Current TRL stage of your technology/product * 16. Competitive landscape and differentiator of your product/technology * 17. Market opportunity of your product/technology * 18. Amount of funding required (in INR) * 19. What will the funding be used for? * 20. Other funding sources till date (Please specify the name of the funding agency and the amount raised in INR) * 21. Current valuation of the company (in INR). Please specify how the valuation was done. Has the process been vetted by a chartered accountant/financial expert? * 22. Registered as Private Limited * Mark only one oval. Yes No 23. Year of establishment of company * 24. Is the company currently generating revenue? If yes, please specify revenue generated in previous financial year (in INR). * 25. Is the date of incorporation <10 years? * Mark only one oval. Yes No 26. Is the company an Indian start-up, with at least 51% of the shares held by Indian citizens? * Mark only one oval. Yes No 27. Is the turnover for all financial years < INR 25 Crores * Mark only one oval. Yes No 28. Is the company working to develop a novel technology, with potential for IP generation? * Mark only one oval. Yes No 29. Are the promoters willing to share equity in exchange for funding? * Mark only one oval. Yes No 30. Certificate of Incorporation of the company (submit the same at Q. No. 39 via GDrive Link) * Mark only one oval. Not Attached Attached 31. Articles of association of company (submit the same at Q. No. 39 via GDrive Link) * Mark only one oval. Not Attached Attached 32. Memorandum of association of company (submit the same at Q. No. 39 via GDrive Link) * Mark only one oval. Not Attached Attached 33. CA audited shareholding pattern of the company indicating nationality of shareholders (submit the same at Q. No. 39 via GDrive Link as per the provided format) * Mark only one oval. Format Not Attached Attached 34. Founding team (include full name, background, team role). Provide the resumes of all members. (Submit the same at Q. No. 39 via GDrive Link) * Mark only one oval Not Attached Attached 35. Scientific advisory board. Provide the resumes of all members. (Submit the same at Q. No. 39 via GDrive Link) * Mark only one oval Not Attached Attached 36. Governing body/ Board of Directors. Provide the resumes of all members. (Submit the same at Q. No. 39 via GDrive Link) * Mark only one oval Not Attached Attached 37. Business plan (submit the same at Q. No. 39 via GDrive Link as per the provided format) * Mark only one oval. Format Not Attached Attached 38. Declaration form (submit the same at Q. No. 39 via GDrive Link as per the provided format) * Check all that apply. Format Not Attached Attached 39. Enclose the Google Drive link (Anyone with the link) to access your company documents like CIN, MoA, AoA, Share holding pattern, Detailed B-Plan, Resumes, Declaration * Paste the Google Drive link to access the company documents viz., 1. Certificate of incorporation of the company 2. Articles of association of the company 3. Memorandum of association of the company 4. CA-audited shareholding pattern of the company indicating the Nationality of each Shareholder (format enclosed in the application form) 5. Detailed Business plan (format enclosed in the application form) 6. Resumes of Company members and Scientific Advisors 7. Signed, scanned copy of Declaration (format enclosed in the application form) Note: Create a single folder with your company name and upload the documents