Government of India
BHABHA ATOMIC RESEARCH CENTRE
Technology Transfer and Collaboration Division
Application Form for technologies from ‘AKRUTI Tech Pack’
[For Individual / Group of Individuals interested in rural deployment]
Under DAE-Societal Initiated ‘AKRUTI’ Programme, the technology deployment exclusively in rural sector is offered on chargeable basis in the form of technology package called AKRUTI Tech Pack consisting of technologies and technical consultancy service at an affordable price. Applications are invited for taking technology license under ‘AKRUTI Tech Pack’ from desirous entrepreneurs /industry/companies/colleges/Trusts/NGOs/technically oriented individuals in villages and cities as well for exclusive rural deployment.
The objective of this offer is to encourage rural centric techno-entrepreneurship at all levels in society, with emphasis on inclusive rural development. As such, first-generation entrepreneurs are welcome! What is desired is strong drive for techno-entrepreneurial pursuit and execution ability for technology-based prosperity-growth in rural-India.
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To Date:
Head,
TT&CD,BARC,
Trombay, Mumbai -400085
Dear sir,
Sub: Application for technologies from ‘AKRUTI Tech Pack’
I/We am/are interested in taking following technology/(ies) from ‘AKRUTI Tech Pack’ for deployment in villages.SN / Title of the Technology / Pl tick Ö if interested in taking the technology
1 / Nisargruna - Biogas plant based on biodegradable waste
2 / Soil Organic Carbon Detection & Testing Kit (SOCDTK)
3 / Vibro Thermal Disinfestor (VTD)
4 / Foldable Solar Dryer (FSD)
5 / Process for retaining Pericarp Colour and extending shelf life of Litchi
6 / Domestic Water Purifier (DWP)- a technology to get bacteria free clean drinking water without use of electricity
7 / Solar Energy driven Portable Domestic Brackish Water Reverse Osmosis (BWRO) technology
8 / Dip N Drink (DND) Membrane Pouch
9 / Banana Tissue Culture (BTC)
10 / Mass multiplication medium of Biofungicide Trichoderma spp
11 / Micro fine Neem Biopesticide
12 / Nanocomposite Ultrafiltration Membrane Device For Domestic Drinking Water Purification W.R.T. Arsenic, Iron And Microbial Contaminations
The following information is provided in details. (Enclose separate copy of certificates and additional sheets wherever required. If handwritten, fill in the application form in BLOCK letters)
1. / Name(s) of the Individual/Group of Individuals :
2. / Woman entrepreneur : YES / NO
3. / Occupation :
4. / Contact Details:
Name :
Designation:
Address:
Phone:
Fax:
Email:
( enclose self attested copy of photo Id and address proof)
5. / Place of work :
6. / Place of work for AKRUTI:
(name villages, talukas, districts)
7. / Where from did you learn about this :
& reason for applying :
8. / Current source of income :
9. / Family Background in terms of occupation:
Is there any business experience
Or exposure in your family
10. / Type of Activities:
11. / List of completed work done for villages:
12. / List of ongoing work :
13. / Existing Facilities:
14. / Average Yearly expenditure:
15. / Audited accounts/Income Tax Returns for last
1/2/3 years as applicable.
(Enclose Audited statements for last 1/2/3 years)
16. / Type of finance support : (Tick as applicable)
Self finance/ Central or State Govt. finance/ Bank finance/ Finance under CSR
17. / Three years budget plan for technology deployment/AKRUTI:
18. / How much of time you or your group
plan to invest in this work :
19. / Village information where this activity is planned & brief description of proposed work place:
20. / Link with other Organisations:
21. / Working on any other Govt. Project:
22. / Any other supporting information:
I/We______request that, I /We may be considered for the deployment of Technologies exclusively in rural area. I / We assure that all the information provided by me/us on this form is true to the best of my/our knowledge, and on the basis of this information any decision taken by Bhabha Atomic Research Centre shall be accepted by me/us. I/We have read check list and enclosed all the documents. I / We also undertake to furnish any further information required in this connection.
Please find enclosed a Demand Draft (non-refundable) / Bankers cheque No. ______dated ______of Rs. 500/- drawn in favour of “Pay and Accounts officer, BARC” as application processing fee. I/We also know that additional charges are required to be paid for receiving the technical know-how on selection of the applicant.
List of enclosures:
1. Self attested copy of Photo Id and address proof
2. Documentary Evidence for financial Background
3. ______
4. ______
5. ______
6. ______
7. ______
Note:
1. Application Processing Fee is Rs. 500/- only for this application.
2. Application must be enclosed with the Demand draft / Banker’s cheque for Rs. 500/- as application processing fee drawn in favor of “Accounts Officer, BARC” and must be sent to Head, Technology Transfer and Collaboration Division, BARC, Trombay, Mumbai - 400085.
3. The selected party accepting terms and conditions of AKRUTI Tech Pack for deployment in Rural areas need to pay separate charges for technical knowhow.
4. All the fields are important and should be filled with appropriate information. Attach additional sheets if required.
5. Application withincorrect and incomplete information will not be considered.
6. Enquiries for funds will not be entertained.
7. Woman Entrepreneurs (WEs) are encouraged by providing concession.
8. Individuals with no prior experience are encouraged to apply. They may write ‘New Initiative’ in columns where past data asked for but not available.
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