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Name *

Email ID *

Mobile Number *

LinkedIn Profile

Startup Name *

Sector / Industry *

Website / Product Link (if available)

Company Details(If Registerd)

Company Name (If Registered)

Date of Incorporation (As per certificate of incorporation) *

CIN Number *

PAN of Company *

DPIIT Recognition Number *

Registered Address (As per official records)

Associated with other incubatorsYesNo

Incubator name *

Program Name *

Duration *

Fonders Details

Number of Founders *

Enter All Founders Name *

Enter All Founders Designations *

Enter All Founders Educational Background *

Enter All Founders Relevant work *

Are all founders working full-time on the startup? *YesNo

Mention if any founder is part-time and why *

Equity Split among Founders *

Enter Name Of Advisors / Mentors With Areas of expertise

Problem & Solution

Problem Statement (1–2 lines) *

Detailed Problem Description (150 words) *

Proposed Solution (200 words) *

How does your solution work? *

Product / Technology

Description of Product/Service *

Stage of Product Development *ConceptPrototypeMVPMarket-ready

Share link of prototype *

Share link of MVP *

IP Status *FiledPlannedNone

Application number *

Application status *

Market & Customer

Target Customer Segment *

Market Size (TAM/SAM/SOM, rough estimate acceptable) *

Customer / Problem Validation *

Competitors / Existing Solutions *

Your Differentiation (150 words) *

Business Model

Revenue Model *

Pricing Strategy *

Funds Raised Till Date (Equity / Grants / Bootstrapped)

Documents

Pitch Deck (Mandatory) *

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KYC Documents (Identity proof such as Aadhaar/PAN/Passport of founders) *

Drag and Drop (or) Choose Files

Incorporation Documents (CIN)

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DPIIT Recognition CertificateIf your startup is recognized under Startup India, please upload the certificate.

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Product Demo / Video (Optional)

Declaration *

Confirm that all information provided is accurate

Consent *

You agree that your application may be shared with evaluators and industry partners for assessment.

Note:

Submission does not guarantee selection or funding.

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CSJM Innovation Foundation Chhatrapati Shahu Ji Maharaj University, Kanpur (Formerly Kanpur University, Kanpur) Kalyanpur, Kanpur-208024

email:

infocsjmif@csjmu.ac.in

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