Name of The Applicant
Email
Mobile Number
Designation
Mention the % of Share held by you in the Company
Name of the Company as per incorporation
Type of company
Date of Inc / Reg of Entity (Should be within 10 years)
Registration Number
You Company Website
Country
State
District
City
Registered Address of the Entity
Pincode
Correspondence Address of the Entity
Correspondence District
Correspondence City
Correspondence Pincode
Correspondence State
Is your startup Registered / Incorporated in Karnataka
If other city, then please mention the name of the city
What is the total turnover of the company till date?
Is 50% of your qualified workforce engaged in Karnataka
Is your startup promoted by a Women Entrepreneur
Name of Women Entrepreneur
Designation of Women Entrepreneur
Entrepreneur Mobile Number
Entrepreneur Email
Title of the Project
Describe the Innovation/ Uniqueness (Technology/ Novelty)
Sector / Industry
Technology Vertical
Technology vertical Others
Which stage is your startup/ project in?
Are you involved in this venture full time
Is your startup/ entity working towards innovation, development or improvement of products or processes or services, or if it is a scalable business model with a high potential of employment generation or wealth creation ?
What have you done till now with respect to the idea and what more needs to be done to commercialize the idea?. This section should describe the Technology Readiness Level and Resources needed to take the Technology further towards commercialization
Have you received financial support / award for your present work? If yes, please furnish funding amount in rupees and details
Has your startup been a winner in any contest or received any investement/ funding from any other source/ investors?
Have you filed or received any patent under your startup
Please mention the Mentors or Advisors on your board
Who are your competitors in this space and what is your USP
Are you a part of any other incubator/accelerator program
Project milestones: What will be the proposed outcome at the end of the project and how much time is required (in terms of month)
Upload the Pitch Deck (in PDF Format not exceeding 10 MB)
Incorporation or Registration Certificate
Please mention First Circle (FC) Membership Number
Please Upload the AoA and MoA/ Partnership Deed
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