Entreprenureship

Smart Grid Centre of Excellence for
Training, Research, and Entrepreneurship
(SG-CEnTRE), IIT Kanpur


Application for pre-incubation fellowship program in Smart Grid Technology


Title of Research Proposal*


1. Applicant Details


Name of the applicant *

(First and Last Name)

Father’s name/Husband’s name:*

(First and Last Name)

Date of Birth*

Contant Number*

(contant only contain 10 digits only)

Email*

Email should match with mail provided in filled application format

Landline Number(optional)

Gender*

Category*

Postal Address*

Permanent Address*



2. Professional/Qualification Details



Highest Educational Qualification*

Profession of the Applicant*

Name & Address of the Institution/Organization

(For Students and working Innovators, No Objection Certificate (NOC) from Head of Institute /Organization is required)

Annual Income of the applicant

PAN Card Number*

Aadhaar Number*

Number of team members*

Brief description of the idea highlighting innovative element*

Status of work already carried out (if any)*

Science and working principle behind the idea*

Have you received financial support / award for your present work from any other sources? *

(if so, please furnish details)

Upload proof of address*

(pdf only size less than 1MB)

Upload NOC from Organization/Institutes (if applicable)

(pdf only size less than 1MB)

A copy of latest income Tax returns filed (if applicable)

(pdf only size less than 1MB)

Upload Application Format*

(Format is to be downloaded from main website, should be pdf only and size less than 1 MB)

Declaration*

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