Unitus Seed Fund - AmpHealth Program
AmpHealth is a Unitus Seed Fund program that identifies, supports and invests in startups that are creating innovative scalable businesses delivering healthcare solutions for the masses in India. Program offers upto INR 4 crore (~USD 600,000) along with conditional seed funding.

WHAT TO EXPECT AFTER SUBMITTING THIS FORM: All applications submitted will be evaluated by the team for investment criteria fit. If there is a fit, we will reach out to follow-up and learn more. If the team does not hear back from us, it is likely there is no investment fit.

Business Name *
Your answer
Business Website
Your answer
First Name *
Your answer
Last Name *
Your answer
Your Role/Title *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Sector *
Please select the items(s) that your business includes:
Required
Primary type of business *
Which of the following population segment does your solution target? *
You can choose more than one option
Required
Three line description of your business *
Your answer
Company is incorporated in which country? *
Your answer
Headquarter City(s) *
Your answer
Year of Incorporation *
Your answer
Business Stage *
Founder #1: Education/Business Affiliations *
Where did you study? Also list any organizations that you've worked with.
Your answer
Founder #2: Education/Business Affiliations *
For 2nd founder, where did you study? Also list any organizations that you've worked with.
Your answer
Capital Already Raised (in US$) *
How much you have raised from friends, family, prizes, investors, etc.
Your answer
Current Fundraising Goal (in US$) *
If you are not sure, you can enter zero.
Your answer
How did you find us? *
Additional Comments
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