GENESIS-EiR

Note: Fields marked with a red asterisk (*) are mandatory and must be completed before submitting the form.

About Company

Name of the Founder *

Email *

Contact No. *

Name of the Company

Year Of Incorporation

Company Website

Legal Status

Highest qualification *

Year of graduation *

Full time into this venture ? *

Please mention the details of Co-founder/Director/Promoter

Co-founder/Director/Promoter - 1

#	Name *	Contact No. *	Email *	LinkedIn URL	Upload CV *(max size 1 mb)
1

Co-founder/Director/Promoter - 2*

#	Name *	Contact No. *	Email *	LinkedIn URL	Upload CV *(max size 1 mb)
2

Title of your project *

What is the problem you are solving ? *(Max Char : 1500)

Who are you solving it for ? *(Max Char : 1500)

List the activities done to validate the above along with your analysis *(Max Char : 1500)

What is your solution ? *(Max Char : 1500)

Stage of your startup ? *

Sector/Domain of your startup *

Situated At ? *

How are you using ICT in the solution ? *(Max Char : 1500)

Highlight the innovation(Process, Business model, Market research) *(Max Char : 1500)

How have you done market Validation with customer validation of your idea ? *(Max Char : 1500)

What advantage does your product have over other existing solutions? *(Max Char : 1500)

Who are your competitors? *(Max Char : 1500)

What is your competitive advantages over others ? *(Max Char : 1500)

How do you plan to quickly grow the business ?*(Max Char : 1500)

Total addressable market *(Max Char : 1500)

Have you filed the Patent? *

Yes No

Describe your revenue model *(Max Char : 1500)

Are you making Revenue? *

Yes No

Revenue in Last 3 FY *

Financial Year

Revenue in INR

Financial Year

Revenue in INR

Financial Year

Revenue in INR

Budget Break-up Cost *(Max Char : 1500)

Upload your presentation or idea pitch *
(Accepted formats: PDF File size limit: 5MB)

Proposed Milestones with amount and timeline
(Accepted formats: PDF File size limit: 1MB)

Declaration of no significant external funding
(Accepted formats: PDF File size limit: 1MB)

Reason for raising money now ? *(Max Char : 1500)

Please upload Promoters Photo ID, PAN card, and Aadhaar Card *

Photo ID: (Accepted formats: PDF File size limit: 1MB)

PAN Card: (Accepted formats: PDF File size limit: 1MB)

Aadhaar Card: (Accepted formats: PDF File size limit: 1MB)

Name of the authorized signatory along with designation in the organization. *(Max Char : 1500)

GENESIS - EiR Application Form

Please mention the details of Co-founder/Director/Promoter

Co-founder/Director/Promoter - 1

Co-founder/Director/Promoter - 2*