21Dojo Assessment

Company Name
Incorporation Date

DayMonthYear
Submission Date

DayMonthYear
Years
Months
Primary Technology:
Secondary Technology (if applicable)
Tertiary Technology (if applicable)
Primary reason for starting venture?
If product/solution is tech-based in nature e.g a platform/technology product, will it be developed in-house?
Stage of Product/Service Development
Primary Offering
Customer Segment:
Which Sector is your Company in:
Which Industry is your Company in:
Sub-Industries under Automobiles & Components:
Sub-Industries under Consumer Durables & Apparel:
Sub-Industries under Consumer Services:
Sub-Industries under Media:
Sub-Industries under Retailing:
Sub-Industries under Food & Staples Retailing:
Sub-Industries under Food, Beverage & Tobacco:
Sub-Industries under Household & Personal Products:
Sub-Industries under Energy:
Sub-Industries under Banks:
Sub-Industries under Diversified Financials:
Sub-Industries under Insurance:
Sub-Industries under Real Estate:
Sub-Industries under Health Care Equipment & Services:
Sub-Industries under Pharmaceuticals, Biotechnology & Life Sciences:
Sub-Industries under Capital Goods:
Sub-Industries under Commercial & Professional Services:
Sub-Industries under Transportation:
Sub-Industries under Semiconductors & Semiconductor Equipment:
Sub-Industries under Software & Services:
Sub-Industries under Technology Hardware & Equipment:
Sub-Industries under Materials:
Sub-Industries under Telecommunication Services:
Sub-Industries under Utilities:
Sub-Industries under Automobiles & Components:
Sub-Industries under Consumer Durables & Apparel:
Sub-Industries under Consumer Services:
Sub-Industries under Media:
Sub-Industries under Retailing:
Sub-Industries under Food & Staples Retailing:
Sub-Industries under Food, Beverage & Tobacco:
Sub-Industries under Household & Personal Products:
Sub-Industries under Energy:
Sub-Industries under Banks:
Sub-Industries under Diversified Financials:
Sub-Industries under Insurance:
Sub-Industries under Real Estate:
Sub-Industries under Health Care Equipment & Services:
Sub-Industries under Pharmaceuticals, Biotechnology & Life Sciences:
Sub-Industries under Capital Goods:
Sub-Industries under Commercial & Professional Services:
Sub-Industries under Transportation:
Sub-Industries under Semiconductors & Semiconductor Equipment:
Sub-Industries under Software & Services:
Sub-Industries under Technology Hardware & Equipment:
Sub-Industries under Materials:
Sub-Industries under Telecommunication Services:
Sub-Industries under Utilities:
Which specific domain does your Software & Service cater to:
Selected Sub-Industry:
Required Investment Amount (In INR Cr):

No of Team Members:
Team Member 1's position:
Team Member 2's position:
Team Member 3's position:
Team Member 4's position:
Team Member 5's position (if applicable):
Academic Background of Team Members
The following details are for the:
Highest Level of Non- B-School Education:
Location of Institute:
Name of Institute (North America):
Name of Institute (Western Europe):
Name of Institute (Oceania):
Name of Institute (Latin America):
Name of Institute (Asia):
Name of Institute (Emerging Europe & Central Asia ):
Name of Institute (Arab Region):
Name of Institute (Africa):
Location of B-School Educational Institute (if any):
Name of B-School (North America):
Name of B-School (Europe):
Name of B-School (Asia):
Name of B-School (Oceania):
Name of B-School (Latin America):
Name of B-School (Africa):
Does this team member hold any Professional Qualifications?
Work Experience

Precious Work Details (Current position details have been auto-filled)
Configurable list
Position Held (i.e Most Recent first)
Type of Company
Company Sub-Industry
Years
Months
Number of times responsible for: New Product/Service Launches:
Number of times responsible for: New process implementations:
Number of times been a part of: New/changing teams
The following details are for the:
Highest Level of Non- B-School Education:
Location of Institute:
Name of Institute (North America):
Name of Institute (Western Europe):
Name of Institute (Oceania):
Name of Institute (Latin America):
Name of Institute (Asia):
Name of Institute (Emerging Europe & Central Asia ):
Name of Institute (Arab Region):
Name of Institute (Africa):
Location of B-School Educational Institute (if any):
Name of B-School (North America):
Name of B-School (Europe):
Name of B-School (Asia):
Name of B-School (Oceania):
Name of B-School (Latin America):
Name of B-School (Africa):
Does this team member hold any Professional Qualifications?
Work Experience

Precious Work Details (Current position details have been auto-filled)
Position Held (i.e Most Recent first)
Type of Company
Company Sub-Industry
Years
Months
Number of times responsible for: New Product/Service Launches:
Number of times responsible for: New process implementations:
Number of times been a part of: New/changing teams
The following details are for the:
Highest Level of Non- B-School Education:
Location of Institute:
Name of Institute (North America):
Name of Institute (Western Europe):
Name of Institute (Oceania):
Name of Institute (Latin America):
Name of Institute (Asia):
Name of Institute (Emerging Europe & Central Asia ):
Name of Institute (Arab Region):
Name of Institute (Africa):
Location of B-School Educational Institute (if any):
Name of B-School (North America):
Name of B-School (Europe):
Name of B-School (Asia):
Name of B-School (Oceania):
Name of B-School (Latin America):
Name of B-School (Africa):
Does this team member hold any Professional Qualifications?
Work Experience

Precious Work Details (Current position details have been auto-filled)
Position Held (i.e Most Recent first)
Type of Company
Company Sub-Industry
Years
Months
Number of times responsible for: New Product/Service Launches:
Number of times responsible for: New process implementations:
Number of times been a part of: New/changing teams
The following details are for the:
Highest Level of Non- B-School Education:
Location of Institute:
Name of Institute (North America):
Name of Institute (Western Europe):
Name of Institute (Oceania):
Name of Institute (Latin America):
Name of Institute (Asia):
Name of Institute (Emerging Europe & Central Asia ):
Name of Institute (Arab Region):
Name of Institute (Africa):
Location of B-School Educational Institute (if any):
Name of B-School (North America):
Name of B-School (Europe):
Name of B-School (Asia):
Name of B-School (Oceania):
Name of B-School (Latin America):
Name of B-School (Africa):
Does this team member hold any Professional Qualifications?
Work Experience

Precious Work Details (Current position details have been auto-filled)
Position Held (i.e Most Recent first)
Type of Company
Company Sub-Industry
Years
Months
Number of times responsible for: New Product/Service Launches:
Number of times responsible for: New process implementations:
Number of times been a part of: New/changing teams
The following details are for the:
Highest Level of Non- B-School Education:
Location of Institute:
Name of Institute (North America):
Name of Institute (Western Europe):
Name of Institute (Oceania):
Name of Institute (Latin America):
Name of Institute (Asia):
Name of Institute (Emerging Europe & Central Asia ):
Name of Institute (Arab Region):
Name of Institute (Africa):
Location of B-School Educational Institute (if any):
Name of B-School (North America):
Name of B-School (Europe):
Name of B-School (Asia):
Name of B-School (Oceania):
Name of B-School (Latin America):
Name of B-School (Africa):
Does this team member hold any Professional Qualifications?
Work Experience

Precious Work Details (Current position details have been auto-filled)
Position Held (i.e Most Recent first)
Type of Company
Company Sub-Industry
Years
Months
Number of times responsible for: New Product/Service Launches:
Number of times responsible for: New process implementations:
Number of times been a part of: New/changing teams
Synergy
What level of dependence exists between team members?
How much overlap of skills exists in the team?
How similar are the team members' personalities?
How much informal communication exists within the team?
How necessary is frequent professional interaction?
What is the difference in experience levels between team members?
What is the emotional state of the team?
Which of the following applies most significantly to your team?
Which of the following applies most significantly to your team?

Choose up to 10 of your Primary Marketing Channels
Marketing Channel 1:
Marketing Channel 2:
Marketing Channel 3:
Marketing Channel 4:
Marketing Channel 5:
Marketing Channel 6:
Marketing Channel 7:
Marketing Channel 8:
Marketing Channel 9:
Marketing Channel 10:
Amount of Capital invested so far (In INR):
Total number of transactions since incorporation:
Total number of unique customers/users:
Average ticket size (gross) in primary revenue streams (In INR):
Latest Monthly GROSS Revenue figure (In INR):
Total Operating Expenses since incorporation (In INR):
Total Capital Expenditure since incorporation(In INR):
Retention Ratio (in %)
Average M-o-M Growth (in %)
How long do you expect the average customer to use your product/service? (in months)
Total Paid marketing expenses for the last month (In INR):
Number of NEW customers obtained as a result of the marketing expenses in the last month:
Investment vs Expenses Check
A negative amount indicates excess expenses relative to total investment, which could result in incorrect conclusions.

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Name:
Email:
Phone Number (Optional)
Postal Address (if you'd like a hard copy as well):
Should be Empty:

Academic Background of Team Members

Work Experience

Work Experience

Work Experience

Work Experience

Work Experience

Synergy

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