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Liftoff Application Form

Please note that your information is saved on our server as you enter it.

Startup Name(Required)

Team Leader/Founder(Required)

Email Address(Required)

Contact Number(Required)

Please enter your phone number without the international code. Example: 9999999999

LinkedIn Profile(Required)

Co Founder 1(Required)

Email(Required)

Contact Number(Required)

Please enter your phone number without the international code. Example: 9999999999

Co Founder 2

Email

Contact Number

Please enter your phone number without the international code. Example: 9999999999

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)

Startup Stage(Required)

Early Stage

Prototype Stage

MVP Stage

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)

Please enter a number from 1 to 999.

Enter the amount in Lacs. Example: If it is 5 Lacs please enter ‘5’.

Type of funds received

How much funding are you looking to raise (INR)?(Required)

Please enter a number from 1 to 999.

Enter the amount in Lacs. Example: If it is 5 Lacs please enter ‘5’.

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

Please enter a number from 1 to 999.

Enter the amount in Lacs. Example: If it is 5 Lacs please enter ‘5’. If your answer is No, please enter ‘0’.

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

Please enter a number from 0 to 999.

Enter the amount in Lacs. Example: If it is 5 Lacs please enter ‘5’.

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)

*The Wadhwani Foundation does not charge any fees nor take any equity or commission for this program.

Please note that your information is saved on our server as you enter it.

Venture Name(Required)

Venture Website

CEO / Founder / Business Owner(Required)

Email Address(Required)

Contact Number(Required)

Please enter your phone number without the international code. Example: 9999999999

City(Required)

LinkedIn Profile

Co Founder / Team

Email

Contact Number

Please enter your phone number without the international code. Example: 9999999999

Name of any Institution (Incubator/Association) supporting your application. (Put NA for no association)(Required)

Provide a brief about your venture(Required)

Industry Type(Required)

Others: Specify

Where did you hear about the Program?(Required)

Social Media

Association

Mailer

Event

Mentor

Incubator

Referral

Others

Organisation Type

SME

Startup

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

Refine Your Go-To-Market (GTM) for Scale

Market Access (National/International)

Founder's Well-being

Build a winning Leadership Team

Connects with Global Experts (Sectoral/Functional)

Sharpen your Fund-raising Strategy and access to Capital

Access decision-makers in corporate and government

What is your Annual Recurring Revenue (ARR) in INR:(Required)

Enter the amount in Lacs. Example: If it is 5 Lacs please enter '5'.

Please confirm you have 6-12 months runway to execute your business?(Required)

Yes

No

Attach a link of your latest Investors Pitch Deck (Please share link with open access)(Required)

Business Sector Identification(Required)

Other Sector

What is your total investment in fixed assets or leased assets or hire-purchase assets?(Required)

Indicate your business's annual revenue for the fiscal year 2025 from the ranges provided.

What was your company's revenue in FY25?(Required)

Revenue Goals for 2028(Required)

What are your revenue aspirations for the year 2028? Choose an option that best represents your target:

Less than double the current revenue

Double the current revenue

Triple or more than the current revenue

Number of Employees (White-collar)(Required)

How many office-based or white-collar employees do you have? Including permanent and contract

Number of Employees (Blue-collar)(Required)

How many plant-based or blue-collar employees do you have? Including permanent and contract

Do you have a specific expansion idea for your business?(Required)

Yes

No

Maybe

Please describe your expansion idea in brief(Required)

What type of expansion idea would you like to considering?(Required)

Introducing a new product line or service offering

Expanding sales to new regions or countries

Increasing production capacity or distribution channels

Forming Strategic Partnerships or Alliances

Expanding Customer Segments

Broadening the range of existing offerings

Revamping Business Models - e.g., shifting to a direct-to-consumer or service-based model

Other

Other Expansion Idea

What is the revenue target you aim to achieve from this expansion within the next 3 years?(Required)

Less than 50% increase in current revenue

50% to 100% increase in current revenue

100% to 200% increase in current revenue

More than 200% increase in current revenue

What is the current progress of your expansion idea?(Required)

Just started planning

Initial steps taken (e.g., market research, financial planning)

Midway through execution

Near completion or fully implemented

How would you rate your company’s readiness to execute the business expansion idea?(Required)

Not ready

Somewhat ready

Ready with minor adjustments needed

Fully ready

Has your company previously engaged in a successful business expansion?(Required)

Yes, within the last year

Yes, within the last 1-3 years

Yes, but more than 3 years ago

No

What is your company’s primary goal for the business expansion?(Required)

Increase market share

Diversify product offerings

Enter new markets

Improve operational efficiency

Other

Other Goal

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UTM Source

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UTM Medium

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UTM Campaign

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UTM Term

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