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Application Form
1. Name of your company (as registered). If not registered, name identified.
2. The brand name of your product or service. If a brand name is not used please tell us the name that you have identified.
3. Where is your company operating from?
4. The industry to which your start-up belongs.
5. How would you describe your business category?
B2B
B2BB2C
B2C
Other
6. What is your business? Choose one of the below.
Product
Service
7. What is the current stage of your company?
Idea
Concept
Beta
Pre Revenue
Revenue
8. Select the round of financing.
Idea
Seed
Angel
Pre Series A
Pre Series B
9. Company website URL and social media links.
10. Please describe your role in the start-up:
11. Your LinkedIn URL
12. Team member name, role, and LinkedIn URL
13. Please describe your start-up in your own words. (Try to do this in one sentence. Best statements are tested using two tests. One, an 8 or 9-year-old school student should be able to understand it. And it should focus more on what customers get and less on what you do. Add a line about why you are building the start-up.
14. Describe the important problem of customers you are solving. Is it based on the personal experience of the founders? Why do you believe customers will consider and buy from you?
15. The value of your solution to the customers targeted by you. Why is your product/service necessary? Is it doing something different/or doing differently? Is it a “need to have”/ “nice to have?” Identify if possible, the basis of your assessment. Any trials conducted?
16. What is the market opportunity? And why will it be big? Total Addressable Market. Identify the immediate opportunity targeted as a steppingstone to a larger opportunity. Do you have an unfair advantage to sell to this market?
17. How do you make money (or plan to)? Who will pay (target customer segment)? What are the estimated (or established) margins? What are the costs of sale? What are the key metrics you use (or intend to use) to manage the business?
18. Describe your go-to-market plan. Have you established (or estimated) cost of customer acquisition (plans of reaching your prospects, converting them into customers, and profitably satisfying their needs, either with or without key partnerships). Have you established (or estimated) margin structure of channels if used? Indicators you use (will use) to determine the effectiveness of sales and marketing activities.
19.The traction metrics you use and the trend that make you confident about growth?
20. Why is now the right market timing (technology, trends, economic tailwinds, consumer behaviour, etc.) for your company to raise money?
21. Video Pitch. Three-minute video pitch (MP4 format). The video pitch adds much more material to a PowerPoint two-dimensional pitch document. A video pitch can be conversational, made by answering questions. Use the recording version on Zoom. (Optional)
22. Cap Table. A cap table is a percentages of equity ownership capital (equity shares, preferred equity shares, warrants, and convertible equity) and value of equity in each round of investment by founders and other investors. If you do not have a cap table write a note on the file and upload.
23. Financial projections - Use the financial projections file (recommended) or your own format. An 18-month month-by-month cash flow adds value
24. Traction metrics
25. Total investment in your start-up.
26. Who did you raise it from? Identify own funds, friends and family, Seed/ angel group(s). Total funds raised should equal the investment above). Share names of seed/angel groups.
27. Any loans? If yes, please identify amount and source.
28. What is your funding requirement?
29. Any written commitments for any portion of this funding on date of application?
30. What challenges does your business face in the coming three months?
31. Pitch deck Model for Start-up.
32. Video Pitch
33. Your Email Address
34. Attachments: Upload Files
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