Co-Working Startup Application Form

Basic Details
Zoho CRM *
Lead Type *
N/A
Program
N/A
Name
N/A

Required First Name Required Last Name
Phone *
N/A
Email *
N/A
Designation *
N/A
LinkedIn *
N/A

Start-up Details
Name of the Startup *
N/A
Founding Year *
N/A
Logo of the Startup
N/A
Upload file Capture image using webcam
Head Quarters/Operational place *
N/A
Website *
N/A
Description of Startup *
N/A
Is your company Incorporated ? *
N/A

Yes
No
Date of incorporation *
N/A

dd-MMM-yyyy
Corporate Identity Number(CIN) *
N/A
Are you DPIIT Registered ? *
N/A

Yes
No
DPIIT Number *
N/A

Product Details
Product Name *
N/A
Product Stage *
N/A
Describe the Product *
N/A
Use Case *
N/A
Did you file any IP Patents *
N/A

Yes
No
Date of Application *
N/A

dd-MMM-yyyy
IP Status *
N/A
Date of Patent received
N/A

dd-MMM-yyyy HH:MM AM/PM
Pitch Deck
N/A
Upload file

Team Details
No of Founders *
N/A
Details of Founders
-- No Fields Available --
- Name
- Email
- Phone Number
- LinkedIn Profile
Add Entry Add Entry
- Name
  N/A
  
  Required First Name Required Last Name
- Email *
  N/A
- Phone Number *
  N/A
- LinkedIn Profile *
  N/A
- Name
  N/A
  
  Required First Name Required Last Name
- Email *
  N/A
- Phone Number *
  N/A
- LinkedIn Profile *
  N/A
Team Size *
N/A
Number of full time employees *
N/A
Number of part time employees *
N/A

Funding Details
Raised any Funding ? *
N/A

Yes
No
Total Funding Raised USD *
N/A
Latest Funding Date *
N/A

dd-MMM-yyyy
Latest Funding Amount USD *
N/A
Latest Funding Stage *
N/A
Name the Investors *
N/A
Are you looking to raise funds? *
N/A

Yes
No
N/A
Average Monthly Recurring Revenue INR *
N/A
Last year annual revenue INR *
N/A
Burn Rate INR *
N/A

Market Details
Market Size *
N/A
Number of Customers *
N/A
Sector *
N/A
Sector *
N/A
Sub Sector *
N/A
Business Model *
N/A
Top three Competitors *
N/A
Who is your ideal customer? What is his/her persona? *
N/A

Partnership Details
Any Partnerships/Collaboration *
N/A

Yes
No
Partner Details
-- No Fields Available --
- Organisation
- Value exchange
Add Entry Add Entry
- Organisation *
  N/A
- Value exchange USD
  N/A
- Organisation *
  N/A
- Value exchange USD
  N/A

Mentor Details
Do You have any Mentors *
N/A

Yes
No
-- No Fields Available --
- Name of the Mentors
- Area of expertise
Add Entry Add Entry
- Name of the Mentors
  N/A
  
  Required First Name Required Last Name
- Area of expertise *
  N/A
- Name of the Mentors
  N/A
  
  Required First Name Required Last Name
- Area of expertise *
  N/A

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