{"id":41503,"date":"2024-07-08T12:37:13","date_gmt":"2024-07-08T07:07:13","guid":{"rendered":"https:\/\/wadhwanifoundation.org\/?page_id=41503"},"modified":"2025-07-17T12:52:58","modified_gmt":"2025-07-17T07:22:58","slug":"solicitud-liftoff-formulario-revisado","status":"publish","type":"page","link":"https:\/\/wadhwanifoundation.org\/es\/liftoff-application-revised-form\/","title":{"rendered":"Formulario revisado de solicitud de Liftoff"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"41503\" class=\"elementor elementor-41503\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-450e8f2 e-flex e-con-boxed e-con e-parent\" data-id=\"450e8f2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f334ae2 elementor-widget elementor-widget-image\" data-id=\"f334ae2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"5000\" height=\"1780\" src=\"https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1.png\" class=\"attachment-full size-full wp-image-41506\" alt=\"Wadhwani Liftoff Application Form\" srcset=\"https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1.png 5000w, https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1-300x107.png 300w, https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1-1024x365.png 1024w, https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1-768x273.png 768w, https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1-1536x547.png 1536w, https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1-2048x729.png 2048w, https:\/\/wadhwanifoundation.org\/wp-content\/uploads\/2024\/07\/Banner-01-1-18x6.png 18w\" sizes=\"(max-width: 5000px) 100vw, 5000px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-737a552 e-flex e-con-boxed e-con e-parent\" data-id=\"737a552\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f542ee7 elementor-widget elementor-widget-text-editor\" data-id=\"f542ee7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Track 1 &#8211; Spark:<\/strong> Prototype-stage startups seeking to develop a MVP and obtain government grants.<\/p>\n<p><strong>Track 2 &#8211; Propel:<\/strong> Early-traction stage startups seeking to secure institutional funding and validate scalability models.<\/p>\n<p><em>*The Wadhwani Foundation does not charge any fees nor take any equity or commission for this program.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7948e78c e-flex e-con-boxed e-con e-parent\" data-id=\"7948e78c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6a635783 elementor-widget elementor-widget-text-editor\" data-id=\"6a635783\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\n<p class=\"wp-block-paragraph\"><script>\nvar 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action='\/es\/wp-json\/wp\/v2\/pages\/41503#gf_97' data-formid='97' novalidate><input id=partial_entry_id_97 class=\"partial_entry_id\" type=hidden name=\"partial_entry_id\" value=\"pending\" data-form_id=\"97\"\/>\n                        <div class='gform-body gform_body'><div id='gform_fields_97' class='gform_fields top_label form_sublabel_below description_below validation_below'><div id=\"field_97_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_1'><span class='gform-field-label__text'>Startup Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_1' id='input_97_1' type='text' value='' class='large'   tabindex='49'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_56\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_56'><span class='gform-field-label__text'>Startup Website<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_56' id='input_97_56' type='url' value='' class='large' tabindex='50'   placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_97_2\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_2'><span class='gform-field-label__text'>CEO \/ Founder Name<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_2' id='input_97_2' type='text' value='' class='large'   tabindex='51'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_4\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_4'><span class='gform-field-label__text'>Email Address<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_4' id='input_97_4' type='email' value='' class='large' tabindex='52'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_97_66\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_66'><span class='gform-field-label__text'>Contact Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_66' id='input_97_66' type='text' value='' class='large'  aria-describedby=\"gfield_description_97_66\" tabindex='53' placeholder='9999999999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"9999999999\"\/><\/div><div class='gfield_description' id='gfield_description_97_66'>Please enter your phone number without the international code. Example: 9999999999<\/div><\/div><div id=\"field_97_57\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_57'><span class='gform-field-label__text'>City<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_57' id='input_97_57' type='text' value='' class='large'   tabindex='54'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_7\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_7'><span class='gform-field-label__text'>LinkedIn Profile<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_7' id='input_97_7' type='url' value='' class='large' tabindex='55'   placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_97_82\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_97_23\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_23'><span class='gform-field-label__text'>Co Founder 1<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_23' id='input_97_23' type='text' value='' class='large'   tabindex='56'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_5\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_5'><span class='gform-field-label__text'>Email<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_5' id='input_97_5' type='email' value='' class='large' tabindex='57'   aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_97_67\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_67'><span class='gform-field-label__text'>Contact Number<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_67' id='input_97_67' type='text' value='' class='large'  aria-describedby=\"gfield_description_97_67\" tabindex='58' placeholder='9999999999' aria-required=\"true\" aria-invalid=\"false\"   data-mask=\"9999999999\"\/><\/div><div class='gfield_description' id='gfield_description_97_67'>Please enter your phone number without the international code. Example: 9999999999<\/div><\/div><div id=\"field_97_25\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_25'><span class='gform-field-label__text'>Co Founder 2<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_25' id='input_97_25' type='text' value='' class='large'   tabindex='59'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_26\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_26'><span class='gform-field-label__text'>Email<\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_26' id='input_97_26' type='email' value='' class='large' tabindex='60'    aria-invalid=\"false\"  \/>\n                        <\/div><\/div><div id=\"field_97_68\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_68'><span class='gform-field-label__text'>Contact Number<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_68' id='input_97_68' type='text' value='' class='large'  aria-describedby=\"gfield_description_97_68\" tabindex='61' placeholder='9999999999'  aria-invalid=\"false\"   data-mask=\"9999999999\"\/><\/div><div class='gfield_description' id='gfield_description_97_68'>Please enter your phone number without the international code. Example: 9999999999<\/div><\/div><div id=\"field_97_74\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_74'><span class='gform-field-label__text'>Name of incubator\/institute associated with (if any) (Put NA for no association)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_74' id='input_97_74' type='text' value='' class='large'   tabindex='62'  aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_83\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_97_9\" class=\"gfield gfield--type-textarea gfield--input-type-textarea gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_9'><span class='gform-field-label__text'>Provide a brief about your startup<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_9' id='input_97_9' class='textarea small' tabindex='63'    aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/div><div id=\"field_97_59\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_59'><span class='gform-field-label__text'>Industry Type<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_59' id='input_97_59' class='large gfield_select' tabindex='64'   aria-required=\"true\" aria-invalid=\"false\" ><option value='Services' >Services<\/option><option value='Healthtech &amp; Wellness' >Healthtech &amp; Wellness<\/option><option value='BPO\/KPO' >BPO\/KPO<\/option><option value='EdTech' >EdTech<\/option><option value='Tourism' >Tourism<\/option><option value='AgriTech &amp; New Food' >AgriTech &amp; New Food<\/option><option value='AI, Big Data &amp; Analytics' >AI, Big Data &amp; Analytics<\/option><option value='Advanced Manufacturing &amp; Robotics' >Advanced Manufacturing &amp; Robotics<\/option><option value='Media &amp; Entertainment' >Media &amp; Entertainment<\/option><option value='E-Commerce' >E-Commerce<\/option><option value='Social Enterprise' >Social Enterprise<\/option><option value='CleanTech' >CleanTech<\/option><option value='FinTech' >FinTech<\/option><option value='Mobility' >Mobility<\/option><option value='Real Estate &amp; Housing' >Real Estate &amp; Housing<\/option><option value='Gaming' >Gaming<\/option><option value='Fashion &amp; Beauty' >Fashion &amp; Beauty<\/option><option value='Security &amp; Defence' >Security &amp; Defence<\/option><option value='IT &amp; Communication' >IT &amp; Communication<\/option><option value='Energy &amp; Power' >Energy &amp; Power<\/option><option value='Transportation &amp; Logistics' >Transportation &amp; Logistics<\/option><option value='Others' >Others<\/option><\/select><\/div><\/div><div id=\"field_97_65\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_65'><span class='gform-field-label__text'>Others: Specify<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_65' id='input_97_65' type='text' value='' class='large'   tabindex='65'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_97_79\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Where did you hear about the Program?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_97_79'>\n\t\t\t<div class='gchoice gchoice_97_79_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Social Media'  id='choice_97_79_0' onchange='gformToggleRadioOther( this )'  tabindex='66'  \/>\n\t\t\t\t\t<label for='choice_97_79_0' id='label_97_79_0' class='gform-field-label gform-field-label--type-inline'>Social Media<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_79_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Institute'  id='choice_97_79_1' onchange='gformToggleRadioOther( this )'  tabindex='67'  \/>\n\t\t\t\t\t<label for='choice_97_79_1' id='label_97_79_1' class='gform-field-label gform-field-label--type-inline'>Institute<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_79_2'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Mailer'  id='choice_97_79_2' onchange='gformToggleRadioOther( this )'  tabindex='68'  \/>\n\t\t\t\t\t<label for='choice_97_79_2' id='label_97_79_2' class='gform-field-label gform-field-label--type-inline'>Mailer<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_79_3'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Event'  id='choice_97_79_3' onchange='gformToggleRadioOther( this )'  tabindex='69'  \/>\n\t\t\t\t\t<label for='choice_97_79_3' id='label_97_79_3' class='gform-field-label gform-field-label--type-inline'>Event<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_79_4'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Faculty'  id='choice_97_79_4' onchange='gformToggleRadioOther( this )'  tabindex='70'  \/>\n\t\t\t\t\t<label for='choice_97_79_4' id='label_97_79_4' class='gform-field-label gform-field-label--type-inline'>Faculty<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_79_5'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Incubator \/ ECell'  id='choice_97_79_5' onchange='gformToggleRadioOther( this )'  tabindex='71'  \/>\n\t\t\t\t\t<label for='choice_97_79_5' id='label_97_79_5' class='gform-field-label gform-field-label--type-inline'>Incubator \/ ECell<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_79_6'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Referral'  id='choice_97_79_6' onchange='gformToggleRadioOther( this )'  tabindex='72'  \/>\n\t\t\t\t\t<label for='choice_97_79_6' id='label_97_79_6' class='gform-field-label gform-field-label--type-inline'>Referral<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_79_7'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_79' type='radio' value='Others'  id='choice_97_79_7' onchange='gformToggleRadioOther( this )'  tabindex='73'  \/>\n\t\t\t\t\t<label for='choice_97_79_7' id='label_97_79_7' class='gform-field-label gform-field-label--type-inline'>Others<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_97_51\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_51'><span class='gform-field-label__text'>What are your expectations from the program ? (Select as many)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_51[]' id='input_97_51' class='large gfield_select' tabindex='74'  aria-invalid=\"false\" aria-required=\"true\" ><option value='Mentoring' >Mentoring<\/option><option value='Networking' >Networking<\/option><option value='Funding' >Funding<\/option><option value='Access to learning resources (Expert Sessions, Master Classes etc.)' >Access to learning resources (Expert Sessions, Master Classes etc.)<\/option><\/select><\/div><\/div><fieldset id=\"field_97_76\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Stage of startup<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_checkbox'><div class='gfield_checkbox ' id='input_97_76'><div class='gchoice gchoice_97_76_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.1' type='checkbox'  value='Idea going to Prototype'  id='choice_97_76_1' tabindex='75'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_97_76_1' id='label_97_76_1' class='gform-field-label gform-field-label--type-inline'>Idea going to Prototype<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_97_76_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.2' type='checkbox'  value='Prototype going to MVP'  id='choice_97_76_2' tabindex='76'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_97_76_2' id='label_97_76_2' class='gform-field-label gform-field-label--type-inline'>Prototype going to MVP<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_97_76_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.3' type='checkbox'  value='MVP going to PMF'  id='choice_97_76_3' tabindex='77'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_97_76_3' id='label_97_76_3' class='gform-field-label gform-field-label--type-inline'>MVP going to PMF<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_97_76_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.4' type='checkbox'  value='Paid Pilots\/Early Customer Traction'  id='choice_97_76_4' tabindex='78'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_97_76_4' id='label_97_76_4' class='gform-field-label gform-field-label--type-inline'>Paid Pilots\/Early Customer Traction<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_97_76_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.5' type='checkbox'  value='PMF to Early revenues'  id='choice_97_76_5' tabindex='79'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_97_76_5' id='label_97_76_5' class='gform-field-label gform-field-label--type-inline'>PMF to Early revenues<\/label>\n\t\t\t\t\t\t\t<\/div><div class='gchoice gchoice_97_76_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_76.6' type='checkbox'  value='Early revenues to Growth'  id='choice_97_76_6' tabindex='80'  \/>\n\t\t\t\t\t\t\t\t<label for='choice_97_76_6' id='label_97_76_6' class='gform-field-label gform-field-label--type-inline'>Early revenues to Growth<\/label>\n\t\t\t\t\t\t\t<\/div><\/div><\/div><\/fieldset><fieldset id=\"field_97_61\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you a registered company?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_97_61'>\n\t\t\t<div class='gchoice gchoice_97_61_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='Yes'  id='choice_97_61_0' onchange='gformToggleRadioOther( this )'  tabindex='81'  \/>\n\t\t\t\t\t<label for='choice_97_61_0' id='label_97_61_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_61_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_61' type='radio' value='No'  id='choice_97_61_1' onchange='gformToggleRadioOther( this )'  tabindex='82'  \/>\n\t\t\t\t\t<label for='choice_97_61_1' id='label_97_61_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_97_60\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_60'><span class='gform-field-label__text'>Company Registration Details<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_60' id='input_97_60' type='text' value='' class='large'   tabindex='83'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_78\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_78'><span class='gform-field-label__text'>CIN<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_78' id='input_97_78' type='text' value='' class='large'   tabindex='84'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_97_77\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Are you a DPIIT registered startup?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_97_77'>\n\t\t\t<div class='gchoice gchoice_97_77_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='Yes'  id='choice_97_77_0' onchange='gformToggleRadioOther( this )'  tabindex='85'  \/>\n\t\t\t\t\t<label for='choice_97_77_0' id='label_97_77_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_77_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_77' type='radio' value='No'  id='choice_97_77_1' onchange='gformToggleRadioOther( this )'  tabindex='86'  \/>\n\t\t\t\t\t<label for='choice_97_77_1' id='label_97_77_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_97_63\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_63'><span class='gform-field-label__text'>DPIIT Registration details<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_63' id='input_97_63' type='text' value='' class='large'   tabindex='87'   aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_97_13\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Have you received any funding so far?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_97_13'>\n\t\t\t<div class='gchoice gchoice_97_13_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='Yes'  id='choice_97_13_0' onchange='gformToggleRadioOther( this )' aria-describedby=\"gfield_description_97_13\" tabindex='88'  \/>\n\t\t\t\t\t<label for='choice_97_13_0' id='label_97_13_0' class='gform-field-label gform-field-label--type-inline'>Yes<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_13_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_13' type='radio' value='No'  id='choice_97_13_1' onchange='gformToggleRadioOther( this )'  tabindex='89'  \/>\n\t\t\t\t\t<label for='choice_97_13_1' id='label_97_13_1' class='gform-field-label gform-field-label--type-inline'>No<\/label>\n\t\t\t<\/div><\/div><\/div><div class='gfield_description' id='gfield_description_97_13'>Include grants or commercial funding.<\/div><\/fieldset><div id=\"field_97_69\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-third field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_69'><span class='gform-field-label__text'>How much funding have you received?<\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_69' id='input_97_69' type='number' step='any' min='0' max='999' value='' class='large' tabindex='90'     aria-invalid=\"false\" aria-describedby=\"gfield_instruction_97_69 gfield_description_97_69\" \/><div class='gfield_description instruction ' id='gfield_instruction_97_69'>Please enter a number from <strong>0<\/strong> to <strong>999<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_97_69'>Enter the amount in Lacs. Example: If it is 5 Lacs please enter &#8216;5&#8217;.<\/div><\/div><fieldset id=\"field_97_99\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-third field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><legend class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Type of funds received<\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_97_99'>\n\t\t\t<div class='gchoice gchoice_97_99_0'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='Grants'  id='choice_97_99_0' onchange='gformToggleRadioOther( this )'  tabindex='91'  \/>\n\t\t\t\t\t<label for='choice_97_99_0' id='label_97_99_0' class='gform-field-label gform-field-label--type-inline'>Grants<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_97_99_1'>\n\t\t\t\t\t<input class='gfield-choice-input' name='input_99' type='radio' value='Commercial funding'  id='choice_97_99_1' onchange='gformToggleRadioOther( this )'  tabindex='92'  \/>\n\t\t\t\t\t<label for='choice_97_99_1' id='label_97_99_1' class='gform-field-label gform-field-label--type-inline'>Commercial funding<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_97_52\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_52'><span class='gform-field-label__text'>Grants<\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_52[]' id='input_97_52' class='large gfield_select' tabindex='93'  aria-invalid=\"false\"  ><option value='EIR' >EIR<\/option><option value='NIDHI Prayas' >NIDHI Prayas<\/option><option value='SISFS' >SISFS<\/option><option value='NIDHI SSS' >NIDHI SSS<\/option><option value='TIDE' >TIDE<\/option><option value='Any Other Govt Grant' >Any Other Govt Grant<\/option><\/select><\/div><\/div><div id=\"field_97_100\" class=\"gfield gfield--type-multiselect gfield--input-type-multiselect gfield--width-half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_100'><span class='gform-field-label__text'>Commercial Funding<\/span><\/label><div class='ginput_container ginput_container_multiselect'><select multiple='multiple'  size='7' name='input_100[]' id='input_97_100' class='large gfield_select' tabindex='94'  aria-invalid=\"false\"  ><option value='Angel Networks' >Angel Networks<\/option><option value='Commercial VC funding' >Commercial VC funding<\/option><\/select><\/div><\/div><div id=\"field_97_80\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_80'><span class='gform-field-label__text'>Monthly burn rate<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_80' id='input_97_80' type='number' step='any' min='0' max='99' value='' class='large' tabindex='95'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_97_80 gfield_description_97_80\" \/><div class='gfield_description instruction ' id='gfield_instruction_97_80'>Please enter a number from <strong>0<\/strong> to <strong>99<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_97_80'>Enter the amount in Lacs. Example: If it is 5 Lacs please enter &#8216;5&#8217;. Only numbers<\/div><\/div><div id=\"field_97_81\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\"><\/h3><\/div><div id=\"field_97_70\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_70'><span class='gform-field-label__text'>How much funding are you looking to raise (INR) ?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_70' id='input_97_70' type='number' step='any' min='0' max='999' value='' class='large' tabindex='96'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_97_70 gfield_description_97_70\" \/><div class='gfield_description instruction ' id='gfield_instruction_97_70'>Please enter a number from <strong>0<\/strong> to <strong>999<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_97_70'>Enter the amount in Lacs. Example: If it is 5 Lacs please enter &#8216;5&#8217;.<\/div><\/div><div id=\"field_97_71\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_71'><span class='gform-field-label__text'>How much have you\/founders invested money in the Company?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_71' id='input_97_71' type='number' step='any' min='0' max='999' value='' class='large' tabindex='97'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_97_71 gfield_description_97_71\" \/><div class='gfield_description instruction ' id='gfield_instruction_97_71'>Please enter a number from <strong>0<\/strong> to <strong>999<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_97_71'>Enter the amount in Lacs. Example: If it is 5 Lacs please enter &#8216;5&#8217;.<\/div><\/div><div id=\"field_97_72\" class=\"gfield gfield--type-number gfield--input-type-number gfield--width-half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_72'><span class='gform-field-label__text'>Annual Revenue generated by your Startup?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_number'><input name='input_72' id='input_97_72' type='number' step='any' min='0' max='999' value='' class='large' tabindex='98'    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_instruction_97_72 gfield_description_97_72\" \/><div class='gfield_description instruction ' id='gfield_instruction_97_72'>Please enter a number from <strong>0<\/strong> to <strong>999<\/strong>.<\/div><\/div><div class='gfield_description' id='gfield_description_97_72'>Enter the amount in Lacs. Example: If it is 5 Lacs please enter &#8216;5&#8217;.<\/div><\/div><div id=\"field_97_73\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_73'><span class='gform-field-label__text'>Number of customers till date?<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_73' id='input_97_73' class='large gfield_select' tabindex='99'   aria-required=\"true\" aria-invalid=\"false\" ><option value='0' >0<\/option><option value='10 - 100' >10 &#8211; 100<\/option><option value='101 - 500' >101 &#8211; 500<\/option><option value='501 - 1000' >501 &#8211; 1000<\/option><option value='1000+' >1000+<\/option><\/select><\/div><\/div><div id=\"field_97_21\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_21'><span class='gform-field-label__text'>Attach a link of your latest Investors Pitch Deck (Please share link with open access)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_text\">(Required)<\/span><\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_21' id='input_97_21' type='url' value='' class='large' tabindex='100'   placeholder='https:\/\/' aria-required=\"true\" aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_97_22\" class=\"gfield gfield--type-website gfield--input-type-website gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_97_22'><span class='gform-field-label__text'>Attach a link of your Elevator Pitch Video (Please share link with open access)<\/span><\/label><div class='ginput_container ginput_container_website'>\n                    <input name='input_22' id='input_97_22' type='url' value='' class='large' tabindex='101'   placeholder='https:\/\/'  aria-invalid=\"false\" \/>\n                <\/div><\/div><div id=\"field_97_53\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_53' id='input_97_53' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_97_54\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_54' id='input_97_54' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='https:\/\/wadhwanifoundation.org\/es\/wp-json\/wp\/v2\/pages\/41503' \/><\/div><\/div><div id=\"field_97_88\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_97_88'><span class='gform-field-label__text'>UTM Source<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_88' id='input_97_88' type='text' value='' class='large'   tabindex='102'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_92\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_97_92'><span class='gform-field-label__text'>UTM Medium<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_92' id='input_97_92' type='text' value='' class='large'   tabindex='103'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_94\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_97_94'><span class='gform-field-label__text'>UTM Campaign<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_94' id='input_97_94' type='text' value='' class='large'   tabindex='104'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_93\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_hidden\"  ><div class=\"admin-hidden-markup\"><i class=\"gform-icon gform-icon--hidden\" aria-hidden=\"true\" title=\"This field is hidden when viewing the form\"><\/i><span>This field is hidden when viewing the form<\/span><\/div><label class='gfield_label gform-field-label' for='input_97_93'><span class='gform-field-label__text'>UTM Term<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_93' id='input_97_93' type='text' value='' class='large'   tabindex='105'   aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_97_98\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_98' id='input_97_98' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='' \/><\/div><\/div><div id=\"field_97_96\" class=\"gfield gfield--type-hidden gfield--input-type-hidden gfield--width-full gform_hidden field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><div class='ginput_container ginput_container_text'><input name='input_96' id='input_97_96' type='hidden' class='gform_hidden'  aria-invalid=\"false\" value='Liftoff - Spark' \/><\/div><\/div><\/div><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_97' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' tabindex='106'>Submit<\/button> <button type='button'  id='gform_save_97_footer_link' onclick='gform.submission.handleButtonClick(this);' data-submission-type='save-continue' class='gform_save_link gform-theme-button gform-theme-button--secondary button' tabindex='107' ><svg aria-hidden=\"true\" focusable=\"false\" width=\"16\" height=\"16\" fill=\"none\" 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