IMPULSE

Mentee Application

Personal Information

Full Name:

City:

Address:

State Name:

Mobile no (Without Country Code):

Email:

Aadhar no :

Education:

Have you undergone AC&ABC Training?

ACABC Year:

ACABC ID No:

ACABC Training Institute Name:

ACABC Training Institute City:

ACABC Training Institute State:

Details of Agri-Clinics/Agri-Business

Name of Business:

Nature of your business activity/product/services:

Year of incorporation of Business:

Areas of Operation:

Number of Villages Covered:

Number of Farmers Covered

Capital Invested in Business so far (in Rs.)

Annual Turnover (in Rs.):

Employment Generated So far:

Summary of Business Idea/Innovation

To scale up your business, describe business idea/innovation (Max 200 words).

Requirements from MANAGE AC&ABC:

Any other support from MANAGE AC&ABC Incubation Centre.

Declaration: I hereby declare that the above details are true and correct to the best of my knowledge. In case any information is found to be false or misleading or misrepresenting, I am aware that I may be held liable for it and allow to cancellation of my membership.

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Apiary
Mashroom Cultivation
Sericulture
Agriculture Journalism
Production & Marketing of Bio-Control Agents
Rural Godown
Dairy/Poultry/Piggary/Goatary
Crop Production
Veterinary Clinics
Vermicomposting / Organic manure
Vegetable Production and Marketing
Tissue Culture Unit
Soil Testing Laboratory
Seed Processing and Marketing
Fishery clinic
Value Addition
Pesticides Production and Marketing
Organic Production/ Food Chain
Nursery
Landscaping + Nursery
Horticulture Clinic
Floricultrue
Fisheries Development
Farm Machinery Unit
Direct Mkt.
Cultivation of Medicinal Plants
Contract Farming
Bio-fertilizer production and Marketing
Animal Feed Unit
Agro-Eco Tourism
Agri-Clinics and Agribusiness Centres
Agri Clinics