Registration Form


1. Key Applicant Name  
2. Venture Name (if any)
3. Website URL (if any)  
4. Team Size/Seats Required (max. 3 seats per applicant)    
5. Contact Details (Contact details of each of the team member should be mentioned separately) Team Member-1(Key Applicant) Team Member-2 (if any)Team Member-3 (if any)
a. Name  
b. Landline (03192-)      
c. Mobile No.(Mandatory)        
d. Contact Address(Mandatory)  
e. Permanent Address(Mandatory)  
f. Email ID(Mandatory)        
6. Profiles of each of the Team Members (Educational Qualification & Experience) Team Member-1 (Key Applicant) Team Member-2 (if any) Team Member-3 (if any)
 
7. Present Yearly income (Yearly income of each of the team member should be mentioned separately) Team Member-1 (Key Applicant)(in Rs.) Team Member-2 (if any)(in Rs.) Team Member-3 (if any)(in Rs.)
 
8. Bussiness Plan (provision to upload the documents)
* Document extension should be in .pdf/.ppt/.zip format and maximum file size permitted is 1MB		  
DECLARATION
I/We hereby declare that the above information is true and I shall disqualified in the event of any information submitted me/us above, is found false/incorrect during the process of selection/post selection/during operation of startup.