Wadhwani Liftoff Application Form

Startup Name(Required)

Team Leader/Founder(Required)

Email Address(Required)

Contact Number(Required)

LinkedIn Profile(Required)

Co Founder 1(Required)

Email(Required)

Contact Number(Required)

Co Founder 2

Email

Contact Number

Institute / Incubator name associated with(Required)

Where did you hear about the Program?(Required)

Provide a brief about your startup? Articulate your problem statement, why do you think this is a problem worth solving, who will be your target customer segment?(Required)

Industry Type(Required)

Are you a Registered Entity?

Yes

No

Have you received any funding/grants so far?(Required)

Yes

No

If yes, how much funding/grants have you received? (INR)

Have you personally invested money into this Startup? (If Yes, how much?)(Required)

Annual Revenue generated by your venture till date (INR Million)(Required)

Number of customers/users till date(Required)

Current challenges you are facing/gaps in your startup journey(Required)

Any notable achievements that you want to mention/provide details(Required)

Attach a link of your Pitch Deck (Ensure it has open access)(Required)

Attach a link of your Elevator Pitch Video (Ensure it has open access)(Required)

Are you incubated with any Incubator? If yes, please specify.(Required)

Provide 2 Letter of Recommendation from people who can vouch for you.

Drop files here or

Accepted file types: pdf, jpg, png, doc, docx, Max. file size: 5 MB, Max. files: 2.

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