Nodal Centre Application Form

    I.BASIC DETAILS

    Name of the Institution/ Organisation (not applicable for individuals) * :

    Name of the legal entity (as mentioned in the registered doc of the entity) * :

    Year of establishment * :

    Registered address of the Institution * :

    District * :

    State * :

    Pincode * :

    Website * :

    Name of the applicant * :

    Email address * :

    Mobile number * :

    Qualification * :

    Current Designation * :

    II.BACKGROUND

    A. Type of Applicant * :

    1. Specify category * :

    2. Name of Parent University (for College) :

    3. Specialisation of the educational institution (choose those applicable) * :

    4. Total number of students enrolled (Current academic year) * :

    Diploma :

    UG :

    PG :

    MPhil :

    PhD and above :

    5. Total number (Current academic year) * :

    Teaching faculty :

    Teaching faculty with PhD :

    6. Focus area for scientific research * : Agriculture & alliedAutomobileAerospaceBiotechnologyChemicalsConsumer Durables PharmaceuticalsDefenceEducationEnvironmentElectrical & PowerEnergy (Oil, Natural gas, Petroleum)Food processingHealthcareICT & ElectronicsInfrastructureManufacturingMaterialsMedicalMiningTelecommunicationTransportWaterOther

    B. IP related

    1. Number of research papers published in past 3 years :

    2. Number of technologies commercialized in past 3 years :

    3. Number of Indian or WIPO-compliant patents filed in last 3 years : 01-56-2425 or more

    4. Number of Indian or WIPO-compliant patents received in last 3 years : 01-56-2425 or more

    C. Prior Experience

    1. Number of entrepreneurship awareness / training programs conducted in the last three fiscal years : 01-56-2425 or more

    2. Have you accelerated / funded startups in the last three fiscal years :

    3. Total number of startups supported in the last three fiscal years :

    4. Provide brief description of start-ups and entrepreneurs supported at your institution (50 words):

    III. PROPOSED TEAM

    Proposed AIC Nodal Centre Coordinator:

    Has the person been identified? * [radio* personid use_label_element default : "Yes" "No"]

    Student Coordinator :

    Designation * :

    E-mail * :

    Mobile No * :

    Has the person been identified? *

    IV. PARTNERSHIPS/ LINKAGES

    1. Total number of Academic and Industry Partners :

    2. Total number of Entrepreneurship Partners :

    3. Provide details of 5 partners who are most relevant for the AIC:

    Name of 1st Partner:

    Type of partner :

    Type of linkage :

    Status(Existing/New) :

    About the Partners :

    Name of 2nd Partner:

    Type of partner :

    Type of linkage :

    Status(Existing/New) :

    About the Partners :

    Name of 3rd Partner:

    Type of partner :

    Type of linkage :

    Status(Existing/New) :

    About the Partners :

    Name of 4th Partner:

    Type of partner :

    Type of linkage :

    Status(Existing/New) :

    About the Partners :

    Name of 5th Partner:

    Type of partner :

    Type of linkage :

    Status(Existing/New) :

    About the Partners :

    Description

    a) Type of partner: Academic, Corporate, Individual, Start-up, Government, R&D Lab, Investment, Small Medium Enterprise (SME), Others (please specify).

    b) Type of Linkages: Buyer/Vendor, Mentoring, R&D, Business Innovation, Networking, Donor, Market access, Business Support, Other.

    4. What is the main strength of the organisation that you will leverage for the AIC * ?

    5. Have you taken any other grant from any Government (Centre or State) ministry/organisation on entrepreneurship and innovations * ?

    6. Is the grant currently active * ?

    7. Provide details about any other events that you intend to host (50 words):

    V. Registration Certificate of the Institution (to be attached) :

    Any other relevant document PDF(size max:1mb) :

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    EDU BRIDGE AWARD FOR SCHOOL PRINCIPAL EXCELLENCE - 2023

    PART - A
    Background Information