TechXelerate Application form

1
Full Name* This field is required.Please Enter your Full Name
First Name
Last Name
2
Email Address* This field is required.Please enter a valid email Address
example@example.com
3
Enter your Phone Number* This field is required.
Please enter a valid phone number.
4
Your Role in your Company/Startup* This field is required.
CEO / Co Founder
COO
CTO
Other
5
Startup Name* This field is required.Please enter the full name of your Startup
6
Enter Website* This field is required.Please add a Valid domain name for your startup
7
City* This field is required.Please enter location of your Startup
8
Pincode* This field is required.
9
Industry* This field is required.
Agriculture
Banking & Financial Services
Healthcare, Wellness, Life Science
Media, Entertainment, Gaming
Manufacturing, Logistics, Transportation
Retail & eCommerce
Software & Internet
Other
10
Is your startup founded/led by woman? * This field is required.
YESNO
11
What stage is your startup right now:* This field is required.
Idea
MVP
Product
Revenue
12
Please describe your startup and the problem you are solving* This field is required.
Huge
Large
Normal
Small
Ok
Ok
13
What’s the cumulative funding amount raised till date?* This field is required.
Nil
Less than $250K
$500k - $1M
$1M+
14
What’s your startups total team size?* This field is required.
Less than 5
5 - 10
10 - 20
20 - 50
Greater than 50
15
Attach your Pitch Deck* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
16
* This field is required.Please select this box to agree.
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