Are you a young entrepreneur? Tell us about yourself.
Are you an independent thinker or an entrepreneur doing innovative and significant work in India? Are you tackling new needs? Are you tackling old needs with new solutions?

Have you taken a risk or a leap of faith? Are you creating wealth and value? Is what you're doing scalable?

Are you under 30? Will you still be under 30 on 31st December 2014?

We want to know more about you.

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We're Forbes India, a business magazine from the Network18 group. You can visit us at http://www.forbesindia.com

You can see our first 30 Under 30 special edition here: http://forbesindia.com/firstprinciples/specialreport/30-under-30/1449/1

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Personal information
What is your name? *
Format: First Name Last Name, Designation, Age. (We want to hear from the founder(s). If you aren't one of them, please send her or him a link to this page.)
Your email address *
If we find your story interesting, we will contact you via this address. Make sure it's one you have exclusive and constant access to.
Your phone number *
Example, 9876543210 for a cellphone, or 2233334444 for a Mumbai landline
If you have co-founders, please name them here.
Each on a new line please: First Name Last Name, Designation, Age
About your venture
What is the name of your venture? *
In which year did your venture start? *
We're looking for young ventures; 2009 is our cut-off date
MM
/
DD
/
YYYY
Street address *
Your venture's Web site *
Ideally, your own site. If you don't have one yet, then a blog or a social media presence will do. The form will only accept a full address. Eg.: http://www.forbesindia.com
What is the legal status of your venture? *
In which of these categories does your venture best fit? *
In one sentence, tell us what your venture does. *
Where is your product or service available? *
If it's one or more cities, name them. Ditto for states, regions (eg: Western India), continents. If your product or service is available anywhere in the world, specify that.
Now tell us more about your venture *
What was the opportunity or unaddressed need you saw? Why did you think you could do this? What—briefly—experience or training did you have?  What kind of competition do you have? You have 1000 characters: make them count.
What are your sources of funding? *
Required
What is the total sum of money invested in your company from all the above sources? *
In Indian rupees, numerals only, no commas
Where does your company operate out of? *
What is your staff size? *
Full-time, part-time, consultants, volunteers, all of the people necessary for you to function
Are you making money yet? *
Profit in your last full year of operation
Tell us about your plans for the next five years *
You have 1000 characters: make them count.
Who could we ask about you?
Are there any qualified experts in your industry, or external observers, who you think would be ablet to tell us more about you? Give us their names and contact details.
Have you been written about in the media? If so, please give us links to the articles.
If you have a Press Mentions page on your Web site, then you can give us the URL.
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