General Information
Name
*
First Name
Last Name
Email Address
*
example@example.com
Confirm Email Address
*
example@example.com
Make sure you typed the correct email address.
Phone Number
*
-
Country Code
Phone Number
Age Group
*
18 - 24
25 - 34
35 - 44
45+
Link to LinkedIn Profile
*
Job Status
*
student
employed
unemployed
Current occupation
*
Accountant
Animator
Architect
Auditor
Biomedical scientist
Biotechnologist
Brand manager
Business analyst
Careers consultant
Civil engineer
Clinical research associate
Community worker
Computer Programmer
Computer Systems Analyst
Computer User Support Specialist
Consultant
Credit analyst
Customs officer
Data analyst
Data scientist
Data visualisation analyst
Database administrator
DevOps engineer
Dietitian
Doctor
Economist
Editorial assistant
Education administrator
Electrical engineer
Energy consultant
Entrepreneur
Environmental health officer
Financial manager
Food scientist
Founder
Government research officer
Graphic designer
Health and safety adviser
Hotel manager
Human resources officer
Illustrator
Information technology/software trainers
Insurance broker
Investment analyst
IT support analyst
Lecturer
Legal executive
Logistics/distribution manager
Manufacturing engineer
Market research analyst
Market research executive
Marketing assistant
Marketing executive
Marketing manager
Medical representative
Nurse
Nutritionist
Office manager
Pharmacist
Photographer
Physiotherapist
Political researcher
Product development scientist
Project manager
Psychologist
Psychotherapist
Public affairs consultant
Public relations (PR) officer
QA analyst
Quality assurance manager
Research scientist
Retail manager
Sales executive
Site engineer
Social worker
Software developer
Software engineer
Statistician
Structural engineer
Systems analyst
Systems developer
Teacher
Technical sales engineer
Translator
UX designer
Video game designer
Video game developer
Volunteer work organiser
Warehouse manager
Waste management officer
Web designer
Web developer
Writer
Name of employer
*
Name of university
*
Role within the team
*
What is the highest level of education you have completed?
*
High School
BS/BA
Masters
PhD
How many years of professional experience do you have?
*
less than 1 year
1-2 years
3-5 years
6-10 years
10-15 years
15-20 years
20+ years
How many years of startup experience do you have?
*
less than 1 year
1-2 years
3-5 years
6-10 years
10+ years
How many hours are you currently working on your idea per week?
*
less than 5 hrs/week
5-10 hrs/week
10-15 hrs/week
15-20 hrs/week
20-25 hrs/week
more than 25 hrs/week
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Startup Information
Startup Name:
*
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Link to a 3-min video pitch of your idea / business
*
Startup website (if any)
Links to your social media platforms
Number of team members including yourself
*
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About the Team
Remaining Team Members
*
Please provide a brief profile for each team member including yourself and any relevant experience (250 words max)
*
0/250
What differentiates your team in order to develop and execute this idea
*
0/250
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Elevator Pitch
Please describe what your startup does in 150 characters or less
*
0/150
What problem/need are you trying to solve?
*
Please give some details with regards to how big the problem is, why is it important and what are the pains that potential customers face.
0/250
What is the solution that you are proposing?
*
Please give some details with regards to the benefits you are delivering to customers, the product’s added value and what is new & unique about your solution.
0/250
What industry best fits your startup?
*
Choose one option
Adtech
Agriculture
Analytics
Arts, entertainment and Recreation
Biotech
Cloud Services
Construction
Community Platform
Crowd Funding
Defense and Public Administration
E-commerce
E-sports
Ed-tech
Energy and Environment
Entertainment
Fintech
Fitness
Food / Beverages
Gaming
Healthcare
Insurance
IOT
Legal
Marketplace
Marketing, Advertising and PR
Retail
Robotics
Science and R&D
Search Engines and Directories
Social Services
Telecommunications
Tracking
Transportation
Travel / Tourism
Web Development
Wholesale and Retail Trade
Choose the best answer that best describes your startup
*
I have an idea that I want to explore & develop
I have a working minimal viable product and prototype
I am currently selling
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Idea Stage
What substitutes do people resort to because your idea is not yet in the market?
*
0/250
Do you have relevant expertise in this field? If yes, please elaborate.
*
0/250
Who are your competitors and who might become competition?
*
0/250
What is your business model?
*
B2C
B2B
Marketplace
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Product Stage
Growth Stage
What is your unique value proposition?
*
Please specify the key differentiating factors of your product / service.
0/250
What is your business model?
*
B2B Commerce
B2B SaaS
B2B PaaS
B2B Subscription
B2B Transaction Fee
B2C Commerce
B2C SaaS
B2C PaaS
B2C Subscription
B2C Subscription – Freemium/Premium
B2C Transaction Fee
Marketplace
B2B2C
B2C2B
Others
Please Specify
*
Did you launch your product yet?
*
Yes
No
Which stage are you at?
*
Proof of Concept
Alpha testing
Beta Testing
Pilot Validation
Where and when did you start selling?
*
How many users/clients do you currently have?
*
none
1-10
10-50
50-100
100-500
500-1000
more than 1000
List up to 5 direct or indirect competitors and please specify the key differentiating factors of your product / service
*
0/250
What is your business growth plan?
*
Expand to local markets
Scaling to other countries
Expanding the team size
Please provide quarterly revenue figures.
*
Do you plan to raise funds?
*
Yes
No
Please specify the amount.
*
Have you raised funds before?
*
Yes
No
Please specify the amount and from whom
*
How much equity are you selling?
Is your business incorporated?
*
Yes
No
Please specify where and when was your business incorporated.
*
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Anything Else?
Were you a part of an incubators/accelerators?
*
Yes
No
Which one?
*
UKLTH
SPARK
Flat6Labs
Speed
Cleenergy
Agrytech
Hult Prize
SMART ESA
iPark
CRInn
Ashier Center
Others
Please Specify
*
Did you participate in any startup competition?
*
Yes
No
In which competition did you participate in?
*
Startup Weekend
MIT Enterprise Forum
Seedstars
Arabnet
Hult Prize
Others
Please Specify
*
How did you hear about us?
*
Email
Facebook
Instagram
Twitter
Friend referral
Event / workshop
Google search
Anything else you'd like us to know? Comment below.
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