subject_line
Application for Mentorship Support
Prefix
*
First Name
*
Last Name
*
Gender
*
Male
Female
Transgender
Designation
*
Name of Startup
*
City
*
Email ID
*
Mobile No.
*
Your website :
Are you a DPIIT Registered Startup?
*
Yes, we are Registered with DPIIT
No
Provide DPIIT Registration No.
*
Are you a CII Member?
*
Yes, we are a CII Member
No, we are not a CII Member
Would you like to take CII Membership?
*
Yes, we would like to take CII Membership
No, we do not want to take CII Membership
Which sector does your Startup belong to
*
Artificial Intelligence
Arts & Crafts
Blockchain
Deep Tech
Defence & Aerospace
eCommerce
Education
Fintech
Future Mobility
FMCG
Gaming & e-Sports
Healthcare
Industrial Safety
Industry 4.0
Renewable Energy
SAAS
Smart Cities / Infra
Space
Waste to Worth
Water
How many years have you been in business?
*
0 -1 Year
2 Years
3 Years
4 Years
5 Years
Over 5 Years
Stage of Business
*
Concept
Idea
MVP
Prototype
Go-to-Market
Early traction
Growth Stage
Elevator Pitch
*
In which of the following business area would you like mentoring
*
Finance
Management
HR
Accounting
Marketing
Legal
Information Technology
Technology
How often are you available to communicate with a mentor?
*
1 - 2 hrs per week
2 - 4 hrs per week
4 - 6 hrs per week
Have you ever received any mentoring?
*
Yes
No
Why are you interested in working with a mentor?
*
Your Lanugage Preference
*
Download the presentation template for Business Plan from the link given here :
https://bit.ly/3rHRN7L
Attach your Business Plan
(
template given above to download
)
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