NIDHI PRAYAS Innovator's Application Form

By Department of Science and Technology, Government of India, National Science and Technology Entrepreneurship Development Board (NSTEDB)
PRAYAS - Application form
Instructions:-
1. Before filling the application form, read the eligibility criteria & terms and conditions carefully.
2. Click on the section name to expand the application form details.
3. Please be ready with the following documents before filling up the form as the same has to be uploaded in the form.
  - Latest photo of the applicant
  - Residence proof
  - Product image (if any)
  - Signature of the applicant
  - NOC from institute/ organization (If in employment / if student)
  - Income proof/ Income Tax return (If in employment)
  - Pitch deck

Eligibility criteria
- An individual applicant innovator has to be an Indian citizen with a government approved proof of nationality such as a valid passport, voter’s id etc.
- The applicant should be minimum of 18 years of age, as on the date of application.
- PRAYAS grant is Proof-of-concept grant for converting idea and innovations into a prototype. Proposals for the products having crossed the prototype level are not eligible for support under NIDHI-PRAYAS.
- The ideas and innovations should be based on technology and science.
- The product prototype has to be a physical product.
- In case of an applicant being an individual innovator OR working in a team without having a startup applying for PRAYAS:
  - Applicants should have ownership of the Project knowhow or IP of the proposed products or right to use knowhow or IP if it is owned by a third party.
  - If the applicant works in a team with other innovators there has to be an agreement among the team about the lead innovator who would apply, and the funds will be transferred to the lead innovator’s account (after selection). IP generated would vest with the innovator or with the team as per the agreement and it would be further taken for commercialization.
- In case of an applicant being a co-founders of a Startup applying for PRAYAS:
  - The startup should be incorporated in India with a minimum 51% of its equity held by Indian citizens. The startup should not be more than 7 years of existence as on date of application
  - The startup wants to develop the prototype for a new product, for which they have not received support from any other funding agency.
  - The startup should not have annual turnover exceeding Rs.25 lakhs for any of the financial years since its inception.
  - IP generated would vest with the start up.
- Additional terms for innovators in employment OR Students with any R&D organisation OR Academic Institution
  - The innovators in employment or pursuing students have to seek the NOC from their organisation or institution. The NOC should include:
    
    Permission to apply for PRAYAS and extending sufficient time to work on the PRAYAS project.
    
    Permission that IP generated would vest with the innovator.
- Prototype must be capable of being completed within 12 to 18 months.
- Innovators should have technical skills or background.
- Idea or Innovations should have a roadmap towards commercialization.
- The priority technology areas are manufacturing, agriculture, healthcare, clean-tech, energy, water and Internet of Things (IoT). Other technology areas may also be considered on strength or merit of the idea.
- Preference may be given to the innovators-
  - Having bootstrapped or have co-investment commitments.
  - Having clear roadmap for commercialization or start up creation
  - Women innovators
  - Young innovators
- Notwithstanding the above, the followings will not be considered under NIDHI-PRAYAS
- Projects related to Pure Software development, e-Commerce, Service solutions, App based solutions.
- Funding research or student internship in Academic institutions or R& D organisations.
Terms & Conditions
- PRAYAS support is in form of the grant which will be maximum upto Rs.10 lakhs.
- PRAYAS applications will be subject to Decision of the committee members of the PC where innovator has applied. The decision of approval or rejection or reduced amount by the committee shall remain final and binding on the innovator.
- The applicant will be fully committed to work towards the prototype development for which the support is being sought with an intention to commercialization.
- The project duration is maximum 12-18 months. Prototype has to be completed within maximum 18 months from receiving the first tranche of the grant.
- For incomplete projects, Prayasee must return unutilized amount of the grant.
- If innovator has already started a venture, Innovators should assign the IP ownership right to the startups.
- Innovators or Start-up teams cannot avail NIDHI Prayas Support for more than once nor from more than one Centre. Innovators shall also not be supported in parallel under NIDHI-EIR and NIDHI-Prayas. Innovators will give declaration at the time of making application indicating that they have not received support under NIDHI-PRAYAS for the same idea or NIDHI-EIR

1. Latest photo of the applicant

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(not earlier than 6 months) Cancelof
2. Name of the applicant/ innovator

PrefixFirst NameLast Name
3. Father’s/ Husband's name

First NameLast Name
4. Applicant Date of birth (dd/mm/yyyy)

DayMonthYear
5. E-mail ID
6. Mobile number
7. Alternate number
8. Gender
9. Category
10. Educational Qualification
10.1 Undergraduate degree
SSC, HSC, Diploma, Degree
10.1.1 Name of institute
(Name of Undergraduate degree institute)
10.2 Highest educational qualification
10.2.1 Name of institute
(Name of highest educational institute)
11. PAN no.
12. Aadhaar no.
13. Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
14. Residence proof

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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 Cancelof
15. Permanent address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
16.LinkedIn profile

17. Profession of the applicant
18. Have you incorporated your startup?
18.a. If Yes, please mention the name of your start up
(If not applicable mention NA)
18.b. Date of incorporation

DayMonthYear
Date - Month - Year
18.c. Type of startup ?
18.1 Company website link (if any)

18. Name & Address of the Institution/Organization (applicable in case of Innovator in Employment/Student)
18.1 Address of the Institution/ Organisation

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
18.2. For Innovator in Employment / Students with any R & D organization / Academic Institution, No Objection Certificate mandatorily required

Upload a File
(Upload NOC from Head of Institute /Organization) Cancelof
18.3. Annual Income of the applicant (applicable in case of Innovator in Employment)

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(Attach a copy of the latest Income Tax Returns filed) Cancelof

Rows	F.Y. 2020 - 2021.	F.Y. 2021 - 2022
Revenue (in Rs.)

19. Founding / Core team details (NOTE : If no team members, kindly mention NA in column Name)

Rows	Name	Aadhar no.	PAN no.	Gender	Mobile no.	E-mail id.	Qualification	Role in the team	% of Share holding (applicable if startup is formed)
1
2
3
4

20. Title of the proposed project:
21. What is the problem you are trying to solve ?

0/50
22. Brief description of the idea highlighting innovative element.

(Avoid confidential information but give enough non-confidential information to describe your idea. We may share this application with others for the purpose of review and assessment of the proposal)0/50
22.1. Science and working principle behind the idea

(Avoid confidential information but give enough non-confidential information to describe your idea. We may share this application with others for the purpose of review and assessment of the proposal)0/50
22.2. Please mention the hardware component which will be developed in the proposed prototype.

0/50
22.3. Upload image of product (if any)

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22.4. Video link of product (if any)
22.5. Domain
22.6. Others, specify the domain.
22.7. Core technology
23. Current status / stage of your project (if any) such as. Please tick ✓ as applicable.
24. What are the existing solutions in the market ?

0/50
25. Who would be prospective buyers of your product / beneficiary of your innovation and what is the size of the addressable market?

0/50
26. Have you done any validation to check the need for / feasibility of your idea? If yes, then please describe who all you spoke with and what was their feedback?

0/50
27. Who are the competitors in your market? What is your unique value proposition vis- a vis- the competitor?

0/50
28. Do you have any Patent / Copyright for your innovation? If yes, please provide the details.

0/30
29. Final outcome / deliverable of the project

0/30

30. Project period in months (Max. 12 to 18 months)
30.1 Funding Required (Amount Rs. in lakhs)
(Prayas Funding is upto Rs. 10 Lakhs, if the project cost is more innovator should add his/her own contribution in the table below)

30.2. Proposed costs and time frame

Rows	Project Cost’s- Own Share to be Contributed by applicant	PRAYAS funding required
Outsourcing Charges for R&D/Design Engg/Consultancy/Testing/Expert cost
Raw material/ Consumables/Spares
Fabrication /Synthesis charges of working model or process
Business Travel and Event participation Fees (Ceiling 10% of approved project cost)
Patent filing Cost – (PCT- Ceiling 10% of approved project cost)
Contingency - (Ceiling 10% of approved project cost)
Others
Total

30.3. Activity Details / Work Plan :

Rows	Activities	Monitorable Milestones	Duration (Months)
1.
2.
3.
4

31. Have you received/approved financial support / award from any other sources? (if so, please provide details of Funding amount and Funding Agency name)

Rows	Date of Funding Received	Funding Type	Agency Name	Amount ( Rs.)
1
2
3

32. Have you also applied / in process of applying to any other PRAYAS Centre (s) for NIDHI-PRAYAS and/or NIDHI-EIR grant
32.1. If Yes – Please mention the name of the Centre / TBI and the program.
33. Are you incubated/pre-incubated/ associated with any incubator?
33.1. If Yes – Please mention the name of the incubator.
34. Please upload your pitch deck.

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34. Undertaking and signatures
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
Date

DayMonthYear
Date
Signature

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Declaration