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First Name *

Last Name *

Brand Name *

Entity Name *

State *

Pin Code *

Mobile No. *

Email Address *

Website *

Founder Brief Description (background, roles, qualifications, experiences, passion, interests, etc.) *

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When did the company begin?*

Business Description*

Business Category *

Company Type *

Current Phase *

IP Rights:*

What are your revenues till date?

Equity Exchange Percentage *

What do you intend to do with the funds ?*

How many active users/customers do you have? If you have some particularly valuable customers, who are they?*

How much investment are you seeking? (e.g 10L,25L,50L,1Cr,2.5cr etc)*

What is your monthly revenue? How much have you grown month on month in the past year?

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Past Fund Rasied (external - apart from family and friends):*

Inspiration behind the idea:

Current Cap Table Structure:

Business Idol you look upto:

Is this your first startup? If not, provide details of previous:

Incubated? *

Reference? *

Are you part of any other funding tv show? *

Pitch Deck Presentation *

Photo / Video of Product / Business:*

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