THNX - 2026
Please complete all sections of this form. All fields are mandatory unless otherwise stated. Ensure the information provided is accurate and complete before submission.
Founder and Company Details
Fill in all the details of Company & Founder(s)
Company Name
*
Write the Legal Name of Organization
Website or App Link
*
Founder Name
*
First Name
Designation
Email
*
example@example.com
Mobile Number
*
Enter your mobile number with country code (e.g. India - 91)
LinkedIn URL
Founder Details
Founder Name
*
First Name
Designation
Mobile Number
*
Enter your mobile number with country code (e.g. India - 91)
Email
*
example@example.com
LinkedIn URL
Founder Details
Founder Name
*
First Name
Designation
Mobile Number
*
Enter your mobile number with country code (e.g. India - 91)
Email
*
example@example.com
LinkedIn URL
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select your Startup stage
*
Please Select
Idea Stage
MVP/Prototype Stage
Pilot Deployed Stage
Revenue-Generating Stage
Scaling Stage
Other
Where are you on the path to scale?
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Problem & Solution
What healthcare problem are you solving?
*
Maximum 150words
Describe your solution or product in one sentence.
*
Who are your target customers/users?
*
How is your solution unique or innovative?
*
What is your business model? (e.g., B2B SaaS, D2C, hospital licensing, etc.)
*
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Traction and Metrics
When was your startup founded?
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Have you launched your product/service?
*
Please Select
Yes
No
Key traction metrics
*
List existing hospital/partner pilots, if any:
*
What are your next 6–12 month goals?
*
Set your futuristic goals here
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Team & Advisors
Name
Name
Role
Experience
Name
Name
Role
Experience
Name
Name
Role
Experience
Do you have clinical or regulatory advisors on board?
*
Current Team size
*
Is your role as a founder your full-time occupation?
*
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Investment and Fundraising
Have you raised any external funding yet?
*
How much?
*
Put the currency in USD
How will you use the funds you raise? (Brief breakdown)
Why THNX?
Your go-to pitch platform
Why do you want to pitch at THNX?
*
Max 200words
What support do you seek from THNX? (Tick all that apply)
*
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Uploads and Declarations
Upload Pitch Deck
*
Browse Files
Drag and drop files here
Choose a file
(PDF Format, Max 10MB)
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Upload 1 Minute Introduction Video
*
Browse Files
Drag and drop files here
Choose a file
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Link to Product Demo / Website / App
*
Certificate of incorporation
*
Browse Files
Drag and drop files here
Choose a file
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I confirm that all information provided is accurate to the best of my knowledge.
*
I confirm that all information provided is accurate to the best of my knowledge.
*
Authorised Signature
*
Please provide your digital signature
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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