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Incubation Center Application Form

Uniglobe Incubation Center Application Form

Uniglobe Incubation Center (UIC) is established with the aim to materialize innovative ideas into real-time business and support existing businesses. Its primary goal is to support the entrepreneurial ecosystem in Nepal to create a conducive environment where startups can flourish and create employment opportunities at home.

Section 1: General Information

1. Name of Business:(required)

2. Address of Business: (required)

3. Contact Number: (required)

4. E-mail ID/ Website: (required)

5. Have you registered your Business?
NoYes

If Yes, Please provide your registration number:

6. Type of your business:
PartnershipSole ProprietorshipPrivate Limited CompanyPublic Limited Company
7. Number of Employees in your business

8. What kind of business are you planning to run? (i.e. Industry)

9. Describe your business idea:

10.Describe your product/ services:

12. Key Contact Person’s/Director’s information:

Name	Designation	Address	Contact Number	Email ID

Name	Designation	Address	Contact Number	Email ID

Name	Designation	Address	Contact Number	Email ID

Section 2: Financing

1. Please state funds needed for the business:

2. How much you can finance your business from equity?

Shareholders Structure

Name of Shareholders	Equity (%)	Amount

3. Are you currently seeking funding?
NoYes

Section 3: Facility and Services of UIC

1. Do you currently have an office:
NoYes
2. Do you need office in the Uniglobe College Premises?
NoYes

Note: All the applicants are required to submit their CVs.