Liftoff Acceleration Form | Wadhwani Foundation

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Wadhwani Entrepreneur + Indian Angel Network

Liftoff Acceleration Application Form

Startup Name(Required)

Team Leader/Founder(Required)

Email Address(Required)

Contact Number(Required)

LinkedIn Profile(Required)

Co Founder 1(Required)

Email(Required)

Contact Number(Required)

Co Founder 2

Email

Contact Number

Institute / Incubator name associated with(Required)

City(Required)

Where did you hear about the Program?(Required)

Social Media

Institute

Mailer

Faculty

Incubator / ECell

Referral

Others

Provide a brief about your startup? Articulate your problem statement, why do you think this is a problem worth solving, who will be your target customer segment?(Required)

Industry Type(Required)

What are your expectations from the program ? (Select as many)

Are you a Registered Entity?

Yes

No

Please share the date of registration for legal entity

DD slash MM slash YYYY

Have you received any funding/grants so far?(Required)

Yes

No

If yes, how much funding/grants have you received? (INR)

Type of funds received

How much funding are you looking to raise?

Have you personally invested money into this Startup? (If Yes, how much?)(Required)

Annual Revenue generated by your venture till date (INR Million)(Required)

Number of customers/users till date(Required)

Attach a link of your Pitch Deck (Ensure it has open access)(Required)

Attach a link of your Elevator Pitch Video (Ensure it has open access)

Startup Name(Required)

Team Leader/Founder(Required)

Email Address(Required)

Contact Number(Required)

LinkedIn Profile(Required)

Co Founder 1(Required)

Email(Required)

Contact Number(Required)

Co Founder 2

Email

Contact Number

Institute / Incubator name associated with(Required)

City(Required)

Where did you hear about the Program?(Required)

Social Media

Institute

Mailer

Faculty

Incubator / ECell

Referral

Others

Provide a brief about your startup? Articulate your problem statement, why do you think this is a problem worth solving, who will be your target customer segment?(Required)

Industry Type(Required)

What are your expectations from the program ? (Select as many)

Are you a Registered Entity?

Yes

No

Please share the date of registration for legal entity

DD slash MM slash YYYY

Have you received any funding/grants so far?(Required)

Yes

No

If yes, how much funding/grants have you received? (INR)

Type of funds received

How much funding are you looking to raise?

Have you personally invested money into this Startup? (If Yes, how much?)(Required)

Annual Revenue generated by your venture till date (INR Million)(Required)

Number of customers/users till date(Required)

Attach a link of your Pitch Deck (Ensure it has open access)(Required)

Attach a link of your Elevator Pitch Video (Ensure it has open access)

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