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    NIDHI - PRAYAS Programme: Latest Photo (Not Less Than 6 Months)

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    Bestowal Infotechs 2018
    This document appears to be an application form for the PRAYAS - Individual Innovator Application program run by the National Science and Technology Entrepreneurship Board in India. [1] The form requests details about an applicant's proposed innovation project including the title, the applicant's personal and contact details, the innovation idea and its working principle, the proposed costs and timeline, and a declaration.[2] The applicant is asked to describe who would benefit from the innovation and why.[3]

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    NIDHI - PRAYAS Programme: Latest Photo (Not Less Than 6 Months)

    Uploaded by

    Bestowal Infotechs 2018
    22 views4 pages
    This document appears to be an application form for the PRAYAS - Individual Innovator Application program run by the National Science and Technology Entrepreneurship Board in India. [1] The form requests details about an applicant's proposed innovation project including the title, the applicant's personal and contact details, the innovation idea and its working principle, the proposed costs and timeline, and a declaration.[2] The applicant is asked to describe who would benefit from the innovation and why.[3]

    Original Description:

    Original Title

    PRAYASEE-Individual-Innovator-Applicaton-Form_TBI_NITC

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    This document appears to be an application form for the PRAYAS - Individual Innovator Application program run by the National Science and Technology Entrepreneurship Board in India. [1] The form requests details about an applicant's proposed innovation project including the title, the applicant's personal and contact details, the innovation idea and its working principle, the proposed costs and timeline, and a declaration.[2] The applicant is asked to describe who would benefit from the innovation and why.[3]

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    22 views4 pages

    NIDHI - PRAYAS Programme: Latest Photo (Not Less Than 6 Months)

    Uploaded by

    Bestowal Infotechs 2018
    This document appears to be an application form for the PRAYAS - Individual Innovator Application program run by the National Science and Technology Entrepreneurship Board in India. [1] The form requests details about an applicant's proposed innovation project including the title, the applicant's personal and contact details, the innovation idea and its working principle, the proposed costs and timeline, and a declaration.[2] The applicant is asked to describe who would benefit from the innovation and why.[3]

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    NIDHI – PRAYAS Programme

    of
    Department of Science and Technology, Government of India
    National Science and Technology Entrepreneurship Board (NSTEDB)

    PRAYAS - Individual Innovator Application form

    Application Ref no –
    (To be given by PRAYAS Centre) Latest Photo (not less
    than 6 months)

    1. Title of the proposed project:

    2. Applicant Details:
    a. Name of the applicant:
    b. Father’s name/Husband’s name:
    c. Date of Birth: (dd/mm/yyyy):
    d. Email ID:
    e. Mobile Number / Alternate Number :

    f. Landline Number:
    g. Gender: Female

    h. Educational Qualification:
    i. Category (General/SC/ST/OBC): General

    j. Address : (Please enclose residence certificate issued by Sub-Divisional


    Magistrate(SDM)/District Magistrate(DM) or a copy of ration card or any other
    document regarding proof of Residence)
    Postal Address Permanent Address

    k. Profession of the Applicant

    l. Name & Address of the Institution/Organization


    m. Annual Income of the applicant:
    n. PAN Card no (mandatory):

    o. Aadhaar No (mandatory):
    3. Brief description of the idea highlighting innovative element:

    Please refer page number 5

    4. (a) Status of work already carried out (if any) such as. Please tick ✓ as applicable.
     participation in competition
     making a model 
     provisional application for patent 
     paper presentations
     publication
     college project
     Any other

    (b) Science and working principle behind the idea

    (c) Final outcome/deliverable of the project:

    (d) Who would be the beneficiary of this innovation and why?

    Please refer page number 6

    5. Proposed costs and time frame


    Project period in months: ________________________
    (Not more than 18 months)

    6. Activity details/work plan

    Sr.No Activities Monitorable Duration (months)


    Milestones

    7. Have you received financial support / award for your present work from any other sources?
    (if so, please furnish details)

    8. Essential Criteria

    9. Declaration:
    I declare that all the statements made in this application are true, complete and correct to the best
    of my knowledge and belief. If any information is found false or incorrect, my candidature will
    stand cancelled and all my claims will be forfeited. I have not received any
    financial assistance for the present proposal from any other agency.

    Place: Signature of the applicant

    Date:

    Who would be the beneficiary of this innovation and why?

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