Government of India

Ministry of Micro, Small & Medium Enterprises

MSME Innovative Idea Submission Proposal Form

1. Details of Incubatee:

1.1* Details of the Host Institute (HI)

Details will be given later

1.2 * Name of the Business Incubator (BI)

Details will be given later

1.3* Category of the Incubatee- MSME/ Student/ Others

Entrepreneurs/MSME Student Others

1. Aadhaar Number/ Virtual Id

Aadhaar Number Virtual Id

* Enter Aadhaar Number/ Virtual Id

* Name In Aadhaar

*
I, the holder of Aadhaar, hereby give my consent to Ministry of MSME, Government of India for using my Aadhaar number with
UIDAI for Student Registration in Incubation Scheme. NIC / Ministry of MSME, Government of India have informed me that my
aadhaar data will not be stored/shared. / म , आधार धारक, इस कार इ ूबेन योजना म छा पंजीकरण के िलए यूआईडीएआई
के साथ अपने आधार सं%ा का उपयोग करने के िलए सू0 ल 0 म 0 उ 0 मं ालय, भारत सरकार को अपनी सहमित देता 5ं।
एनआईसी / सू0 ल 0 म 0 उ 0 मं ालय, भारत सरकार ने मुझे सूिचत िकया है िक मेरा आधार डेटा सं हीत / साझा नहीं िकया
जाएगा।

Validate Aadhaar

1.4 *Incubatee Name

Enter Student Name

1.5 *State

TELANGANA / तेलंगाना

1.6 * District

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 MEDCHAL MALKAJGIRI / मेिडकल मलकजगीरी
1.7 *Email Id

Enter Student University Email ID

1.8 *Mobile Number

Enter Student Mobile Number

1.9 *Category

Enter student Caste

1.10 *Gender

Male Female OTHERS

1.11 *Address

Enter Student Home Address

1.12 * Proof of gender View/Download

2. Details of Idea:

2.1 * Title of proposed idea/innovation

Enter title of proposed idea

Required

2.2* Whether the idea involves use of existing intellectual property or not, give brief detail there of

Enter existing intellectual property detail of same idea by same student (If Any)

Maximum 1500 characters allowed.

2.3*Briefly explain newness/uniqueness of the innovation

Enter newness/uniqueness of the innovation

Required
1500

2.4*Concept & Objective

Enter Concept
&
Objective (Minimum 3 Objectives)

Required
1500

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 2.5 *Specify the potential areas of application in industry/market in brief

Enter potential areas of application

Required
1500

2.6 *Briefly provide the market data for the potential idea/ innovation

Enter market data for the potential idea/ innovation

Required
1500

2.7 *Name and details of Mentors

Enter Name and details of Mentors (Faculty guiding in your department)

Maximum 500 characters allowed.

2.8 *Experience and Qualification of Mentors

Enter Experience of Mentors

2.9 *Contact Details of Mentors

Enter Contact Details of Mentors

2.10 * Current Development Status of innovation

Current Development Status of innovation

Maximum 500 characters allowed.

2.11 *Expected time of completion of idea

Expected time of completion of idea

Maximum 500 characters allowed.

2.12 *Idea Sector (Which sector your Innovative Idea Suites More & Delete Remaining Sectors)

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 Miscellaneous Sector
Agriculture, (Environment, Forests, Water &
Power, Services,
Rivers & Ocean Sanitation; Foods, Beverages,
Healthcare & Life Renewables, Education,
Produce based FMCG, Consumer Goods;
sciences, Medical Electricals, Hospitality, Media,
industries, Infrastructure, Construction,
Devices, Power Publishing,
fertilizers, Housing; IT, ITES, Electronics,
Pharmaceuticals, Electronics, Entertainment,
Agricultural White Goods,
Biotech, AYUSH and Energy Design, Wellness,
Implements & Telecommunication; Metals,
any related sub- Efficiency and Logistics, Sports
Agro processing Engineering, Machinery,
sector any related sub- and any related
and any related Automation and Transportation,
sector sub-sector
sub-sector Automotive, E Vehicles, Railways,
Aviation, UAV and any other sub-

3. Financial requirements:

3.1 *Please give activity-wise break-up as mentioned below

Particular/Item Total idea Amount GOI Incubatee share (Rs.

project cost (Rs. assistance (Rs. In In lakh)
In lakh) lakh)

Technology related Expenditure Same Total Cost -

towards machine usage charges etc.,
Electricity charges, Procurement of (First Column)
raw material , testing/Calibration
charges, other charges essential for
development of idea
Max (10.00) lakh.

Charges for mentor/handholding Same Total Cost -

supporting team
Max (3.00) lakh. (First Column)

Travelling Expenses or any other item Same Total Cost -

not coverd as above may be allowed as
per need for development of the idea (First Column)
Max ( 2.00) lakh.

*Total idea/project cost (Rs in lakh):

*Total GOI Assistance required (Rs in lakh):

*Total Incubatee share (Rs in lakh):

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 4. Please give name of other students/Entrepreneurs associated with this project/idea, if any (in the periodical
order):

Name Aadhar No/Udhyog

Aadhar No/Udyam
Registration

Add

Note:- Please fill above information and click Add button.You can repeat adding for multiple students/Entrepreneurs
associated with this project/idea.

Note:- Kindly do not write the Name/Organization Name/ Company Name of the incubatee in order to
maintain transparency in the evaluation process. (If found, the idea will not be considered.)
* Ref. No.

Enter Reference Number (it will get while final uploading time)

* 5. Summary of the idea. This is the section reviewers read to understand the technical solution. Please state
the solution clearly. Reviewers may ask: What is the actual technical advancement or improvement provided
by this solution?

Enter Summary of the idea

Maximum 750 characters allowed.

* 6 (a) Is it a new concept?

Yes No

* (b) Prior art on the concept, if any

Enter Prior art on the concept

Maximum 300 characters allowed.

* 7. Main Problem Being Addressed in the Project (Every solution targets a certain problem. Please use this
section to highlight the specific problem the solution addresses. This section can be as short or as long as
needed to describe the precise problem the solution addresses)

Enter Main Problem Being Addressed in the Project

Maximum 500 characters allowed.

8. Background for getting the idea?

* a. Who is it for?

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 Enter Who is it for

Maximum 300 characters allowed.

* b. What will it do?

Enter What will it do

Maximum 300 characters allowed.

* c. Any unique features? Explain?

Enter Any unique features? Explain?

Maximum 300 characters allowed.

* 9. How simple or complex will the idea’s execution or implementation be? What are the risk factors involved
in executing the idea?

Enter How simple or complex will the idea’s execution or implementation be

Maximum 500 characters allowed.

* 10. How soon could the idea be put into operation? (TRL of prototype)

Enter How soon could the idea be put into operation? (TRL of prototype)

Maximum 200 characters allowed.

* 11. How much investment would you need for prototyping of the Idea?

Enter How much investment would you need for prototyping of the Idea?

Maximum 200 characters allowed.

* 12. (a) How do you intend to protect your idea (i.e. your intellectual property or IP)? Status of IPR (If any)

Enter How do you intend to protect your idea

Maximum 300 characters allowed.

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 * (b) Related Background. This section is used to highlight information that can be used by the reviewers or
patent attorney to help put the solution in proper context. You can think of this section as something similar
to the introduction section of an academic publication. This section is specifically reserved for other people’s
work (please include competitive work) as well as your past work that you believe will aid the reviewers in
understanding the technical landscape. Data related to or supporting your solution should not be in this
section, it should be in Section III: “How is this Solution Made and Used.”

Enter Related Background

Maximum 500 characters allowed.

* 13.How is this project made and used: Please describe in as much detail as possible how the innovation is
implemented. This includes details on how you actually make, assemble, synthesize, or build the solution
and details on how the solution is used once it is made. Reviewers will ask: How does the technical
innovation actually work – or – what is the detailed process to achieve the technical innovation? Please help
convince the reviewers with supporting statements using as much of the following that is available: your
thoughts, logic, supporting literature, and/or experiments.

Enter How is This Project Made and Used

Maximum 500 characters allowed.

* Upload Block diagram/ flow chart/ Circuit Diagram/Pictures

Choose File Create it in Word doc &

upload Here
[Upload only pdf,File size should not exceed 5 MB]

* Upload Minutes of the evaluation Committee

The minutes of meeting of the evaluation committee should be as per format (Download)

Choose File This will be provided by

University

[Upload only pdf,File size should not exceed 5 MB]

* Please Upload Student ID with duration of course and bonafide certificate by HI certifying that the student is
currently enrolled in the course (Please upload single file including both Student ID & bonafide certificate by
HI)

Choose File No file chosen

[Upload only pdf,File size should not exceed 2 MB]

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 Declaration

I declare that:
1. I have read the entire scheme guidelines and shall abide by all the requirements stipulated therein for
seeking financial assistance.

2. I hereby declare that information given above is true to the best of my Knowledge and that I have not
withheld/distorted any material fact.
3. Any information/ documents that may be required to be verified shall be provided immediately before
the concerned authority.
4. I hereby declare that I have not availed any financial assistance for this purpose from any other
scheme from any Central/ State govt. agency.
5. In case the Idea is approved, Host Institute would undertake to make facilities available to carry out
the development arrange for the submission of periodic progress reports and other information that
may be required by the Ministry.
6. I certify that the accounts of the funds received and spent will be kept and made available on demand,
as per scheme guidelines
7. I certify that the funds will be used only for Idea development as per activities defined in Scheme
Guidelines & no funds out of this grant will be utilized for any other activity/production purposes.

*Verification Code

Fill display below verification code

[ Verification code is case sensitive ]

No details as filled above can be change once the application is finally

submitted.

Final Submit

Website Content Managed by Ministry of Micro Small and Medium Enterprises Designed,
Developed and Hosted by National Informatics Centre(NIC) (https://www.nic.in/).

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