Startup Application Form - TiEcon Vadodara

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Startup Application Form

For Match-a-thon, Pitch-a-thon, Startup Awards

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Startup Name *

# of Founders *

Founder Details

Founder's Full Name *

Founder's Email Address *

Founder's Phone Number

Founder's Gender *

Co-founder 1 Details

Co-founder 1's Full Name

Co-founder 1's Email

Co-founder 1's Phone Number

Co-founder 1's Gender

Co-founder 2 Details

Co-founder 2's Full Name

Co-founder 2's Email

Co-founder 2's Phone Number

Co-founder 2's Gender

Co-founder 3 Details

Co-founder 3's Full Name

Co-founder 3's Email

Co-founder 3's Phone Number

Co-founder 3's Gender

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:

Please Specify

Stage of Startup *

Idea / POC stage
MVP stage
Growth Stage
Other:

Please Specify

Type of Incorporation of Your Startup

Year of Incorporation of Your Startup

DPIIT/SSIP Registration *

Yes
No

If yes, please specify the registration number

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

Technology (specify)

Technology (specify) *

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 *

Nature What Academic

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