ISBA Portal

Apply Membership Form

MEMBERSHIP TYPE

Primary Membership

Associate Membership

INCUBATOR INFORMATION

Name of Incubator

Website Link

Phone

Name of Promoting (host) Organization

Year of Starting the Incubator / Incubation

Establishment supported by

Select...

Nominee letter

Choose file

Certificate of Registration of Incubator

Choose file

ADDRESS

Street Line 1

Street Line 2

Landmark

City

State

Postal Code

CONTACT

Name	Designation	Phone	Email

DETAILS OF INCUBATION SUPPORT

Total Area available in sq. ft. with the Incubator:

Dedicated ‘working’ area being provided to startups in sq. ft.:

Common area incl. discussion room(s), cafeteria, lounge, event area etc. in sq.ft.:

Contract / Incubation period with startups in months:

Will you be renewing the Contract ?

Yes

Startup Suppported

DETAILS OF TECHNICAL SUPPORT BEING PROVIDED

Dedicated Internet facility

Yes

Dedicated Software facility

Yes

Laboratories / Equipment [exclusive for Incubator]

Yes

Technical experts (in-house)

Yes

Technical experts (external) – if any formal engagements exist

Yes

MENTORING / KNOWLEDGE SUPPORT

Dedicated one to one mentoring of startups (on-site)

Yes

Partial

Common mentoring sessions

Yes

Partial

Is List of mentors accessible to all startups

Yes

Partial

Mentors on retainership fee / equity model

Yes

Partial

Training / Workshops on relevant topics

Yes

Partial

FUNDING SUPPORT

Access to Investors

Yes

Partial

Do invest in startups by themselves

Yes

Partial

Any seed fund support

Yes

Partial

Any corporate tie up

Yes

Partial

Loan assistance from Banks

Yes

Partial

MEMBER OF ISBA BEFORE

Have you been a member of ISBA before

Yes