Startup Application Form – TiEcon Vadodara

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Startup Application Form

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If Captcha Location

Startup Name *

Full Name of Founders (all founders) *

Phone Number (Leader + other)

Email (Leader + other) *

Registered Location / Address *

If coming through an Accelerator/ VC firm, please mention their name

If Student-led Startup, then mention your University / Academic Institute name *

Nature of Startup *

Women led Startup
Student-Led
Product Manufacturer
Services provider
Sector Agnostic
Other:

Nature of Startup Other

Stage of Startup *

Idea / POC stage
MVP stage
Growth Stage
Other:

Stage of Startup Other

Is your startup Incorporated? *

Yes
No

If yes, what type?

Years of Incorporation *

<1 Year
1- 3 year
4 - 6 year
6 + year
Other:

Years of Incorporation other

DPIIT/SSIP Registration *

Yes
No

Target Market (Describe in detail) *

What are you looking for *

Mentoring

Mentoring *

High
Medium
Low

Domain Expertise (specify domain)

Domain Expertise (specify domain) *

High
Medium
Low

Market access (specify which market)

Market access (specify which market) *

High
Medium
Low

Industry Connect (specify which industry)

Industry Connect (specify which industry) *

High
Medium
Low

Infrastructure/Lab utilization

Infrastructure/Lab utilization *

High
Medium
Low

Suppliers network

Suppliers network *

High
Medium
Low

Funding / Collaboration

Funding / Collaboration *

High
Medium
Low

Other (mention)

Other (mention) *

High
Medium
Low

(Please specify in detail for the above) *

Technology (specify)

Technology (specify) *

High
Medium
Low

Domain Expertise (specify domain)

Domain Expertise (specify domain) *

High
Medium
Low

Product / services (specify)

Product / services (specify) *

High
Medium
Low

Infrastructure/Lab utilization

Infrastructure/Lab utilization *

High
Medium
Low

Other (mention)

Other (mention) *

High
Medium
Low

(Please specify in detail for the above) *

Please state the Problem you are solving through your Startup *

Brief description of Company/Product/Services: *

link to your website (if any)

Provide your Startup Domain (check all applicable) *

Provide your Startup Domain (check all applicable) other

Provide your Interest domains, where you would like to connect (check all applicable) *

Provide your Interest domains, where you would like to connect (check all applicable) other

Pitchdeck *

Click or drag a file to this area to upload.

(Max 12 Slides covering the following: 1) Title Slide with startup name and founder names 2) Problem being solved 3) Solution 4) Market Opportunity 5) Product / Service Offering with Value Propositions 6) Team 7) Why Now ? 8) Competitive Landscape 9) Business Model 10) Roadmap - milestones 11) If you are looking for funding, the ask and at what price

Link to Demo / Videos (if any)

Captcha *

=

TiEcon is our annual flagship event, designed by entrepreneurs for entrepreneurs.

+91 8799595647

info@vadodara.tie.org