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Women In Innovation - Application Form
Criteria for Participation (Applicants should fulfil all the below mention criteria)
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Registered Startup
Women to hold majority stake in business and also hold leadership roles
Innovative idea/business model
Potential for Impact
Minimum 02 years in business
Revenue of at a minimum of INR 10 Lacs in the previous year (2022-23)
Full Name
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Startup Name
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Designation
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Phone Number
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Email ID
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Registered office location
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Sector of the Startup (You can select more than one sector also)
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Pharma and Healthcare
Agri and Food
Manufacturing
Services
Logistics and Supply Chain
Medical Devices
FMCG
Environment
Social Entrepreneurs
Other ( Please Specify)
Other ( Please Specify)
Nature of Technology Used (Please specify)
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Are you a CII member?
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Yes
No
If yes, then please provide the CII Membership Number
Are you a DPIIT Registered Startup?
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Yes
No
If yes, please provide your DPIIT Registration number
Did you receive information about this program through YNOS? Please select.
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Yes
No
Does the women founder/co-founder hold 51% Stake in the company?
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Yes
No
Website of the company
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LinkedIn profile of the founder
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Founder's Qualification (Last obtained degree and institution)
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Year of Establishment
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Describe the problem you are solving
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How are you addressing the problem?
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What was your inspiration behind starting the startup?
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How big is the market (TAM, SAM, SOM)
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Please provide short description of your main business activity
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Total number of employees in your company
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0-5
5-10
10-15
15-20
20-25
25+
Who developed these product innovation? Tick all that apply
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Your enterprise by itself
Your enterprise together with other enterprises* or organisations
Your enterprise by adapting or modifying goods or services originally developed by other enterprises or organisations
Other enterprises or organisations
How is your solution unique from other companies?
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0/255 characters
Any past awards / accolades
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Does the startup hold any IP
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Yes
No
Filed
Have you raised any funding?
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Yes
No
Funding Received
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Incubator
Grants
CSR
Equity
Debt
No Funding received
Please mention the amount raised in INR
Please mention the source/name of funding
Please upload your high resolution photo
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Please upload your business plan
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