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Startup Registration Form
Email*
Full name*
Company Name*
Contact No. / Whatsapp No. *
Alternate No. ( In case if the primary no. is not reachable) *
Company Address ( With pincode) *
Your company fall's under the following sector*
Artisan Product (Eg. Patola ,Handicrafts etc)
Waste Management
Agriculture
Logistics
Health
Energy ( Eg. Solar , Wind , Hydro etc.)
Environment
Education
E-Commerce
Media
Technology (Industry 4.0, AR/VR , AI/ML, 3D printing, IoT, Automation)
Other
Type of Legal/Business entity *
Proprietorship
Partnership
LLP
Private Limited
Non-profit
Not Registered
other
No of Founders/ Partners in the Business/Startup? *
Explain your Business / startup/ venture in 300 words *
Give a breif about your product / service? *
What is the specialty (USP) about your product (100 words max)? *
For KYC ; Company registration document : CIN / Udhyog Aadhar/ Company PAN / Ghumastadara
(Complete the statement) Your product/services impacts the following : ...... *
Explain in breif how does your product / service impacts Society/ Environment/ Preservation of our Heritage.... *
Education Qualification Of Main promoter/ Director/Founder *
Undergraduate
Postgradute
PhD
Diploma
10+2
other
Annual Business Turnover *
Business / Startup is at which stage?*
Undergraduate
Early stage; ready with prototype
Growth Stage
Expansion phase
Exit phase
other
Current Sources of Funding:
Personal Savings
Crowdfunding
Government grants and subsidies
Angel Investors
Venture Capital
Bank Loans
other
Have you received any of the grants? - Eg. SSIP / SAS / NIDHI / DST. If yes, please specify the name of the grant with a specific amount
Company Website
**Link to your presentation/ brochure
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Linkedin Profile
Youtube channel link
Instagram link
Facebook Link
Any further details that you would like to share , that would help us to understand your business better.
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