Startup Name *
Role in Startup*
Year of Registration
Place of Registration
Please specify your incorporation structure
Please specify if it is a product/service/process?
What is the current stage of the startup?
What is the annual turnover of your company?
Company Profile (300 words only)
Founder Profile (300 words only)
The applicant Represents and Declares that:
In case you are facing any technical difficulty in filling the form, please download from here Online-Startup-Membership-Form.doc and send the filled in word form to us at email@example.com along with the following attachments: