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Member Registration Form

We are glad to invite you to join Asia Pacific Incubation Network. Please fill the following details

Your Contact Information
Name *




ex: you@yordomain.com
 



About your Incubator
Logo
Note: Preferred image size 200px X 150px and maxsize 1 MB. Allowed image types JPG or GIF
Location *


Website URL
ex: http://www.yourdomain.com
Objectives
What are the goals of your organization? How will you measure your success 3-5 years from now?
Affect policymaking
Commercialize research
Create companies that export revenues
Create jobs
Develop profitable enterprises
Provide income generating opportunities for disadvantaged populations
Raise the awareness of potential entrepreneurs


Other
Region
Description of Incubator
Current Interests What are you currently working on? Are you seeking input from the network on any particular issue? Are you interested in partnership opportunities with others in the network?
Services What services do you provide to your clients?
Facilities: ICT services
Facilities: Office space
Facilities: Shared laboratories
Facilities: Shared workshops
Facilities: Special rates with service providers
Finance: Equity Financing
Finance: Financial management training
Finance: Financial management/accounting services
Finance: Linkages to financiers
Finance: Loan
Finance: Loan Guarantees
Finance: Seed Capital
Finance: Venture Capital
Incubation and Business Development: Business information
Incubation and Business Development: Business management and development advisory services
Incubation and Business Development: Incubation program for non-resident clients (virtual incubation)
Incubation and Business Development: Incubation program for resident clients
Incubation and Business Development: Mentoring/coaching
Incubation and Business Development: Pre-incubation services
Incubation and Business Development: Training in business management
International Business Services: Help entering particular markets
International Business Services: Trade facilitation
Networks and Synergy: Facilitation of linkages between incubates
Networks and Synergy: Networking events
Networks and Synergy: Referrals to business professionals
Technology Transfer: Help with commercializing technology
Technology Transfer: Help with intellectual property/patent advice


Other
Year opened What year did your incubator open?
Organization type What type of organization best describes your organization?
Academic  Government  NGO  Private sector 
The incubator is associated with a technology park.
Profit / Non-Profit What financial model best describes your organization?
For-profit  Not-for-profit 
Sectors Which sectors do you focus on?
Agriculture
Information and Communication Technologies
International
Manufacturing
Mixed Use
Textile
None


Other
Target Population Do you target a particular population segment?
Rural Poor   Urban Poor   Women   Youth  
Advocacy My organization actively works to improve innovation and entrepreneurship policy and regulation
Space Available in Business Incubator
  We offer rental space  We do not offer rental space(virtual incubator) 
 If you are operating a technology park with an incubator, please separate the information.
Buildings:
Business Incubator Technopark
Sq.m. available in total:
 
Sq.m rented by client firms:
 
Sq.m used for Incubator services / admin:
 
Clients of the Business Incubator
 
Business Incubator Technopark
Number of client firms:
 
On-site Off-site

Number of employees in client firms:
 
Graduation
 
Last Year Total *
Number of graduated firms:
 
Number of employees in graduated firms:
 
How many companies are still in operation 3 years after graduation?
 
  * Since beginning of incubator operation
  We do not keep track of the companies graduated
We do not use a graduation model for our incubator
We are in regular contact with (most of) the graduated firms
Choose Payment method
  Online Payment  Cheque  DD 

Cheque / DD in favour of "Asia Pacific Incubation Network" payable at Coimbatore

  
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