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AnthahPrerana 2014 Application Form
A TiE Bangalore initiative to celebrate the deep driving desire and self motivation of an entrepreneur
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* Indicates required question
Entrepreneur's Background
Your Name
*
Your answer
Your Email
*
Your answer
Your Cell Number
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Your answer
Company Information
Do you have a company set up?
*
Choose
Yes
No
Which type of entreprise is it (Commercial/Social)?
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Commercial
Social
Company Name
Your answer
Company Website
Your answer
City (HQ in case of multiple operations)
Your answer
Team (Please give names and skills/brief background of 2-4 team members and roles)
Your answer
Why are you doing this venture? Why is this important to you? What would you do if you weren't doing this?
Your answer
Social Network (Relevant Twitter handle, Google+, FaceBook, Blog references)
Your answer
Product/Solution Details
Name
Your answer
What problem/opportunity is being solved/addressed? (Concise and brief)
Your answer
Market Size/Target Customers/Competitors ( Concise with references to specific information)
Your answer
If international markets, list regions (US, Europe, Middle East, South Asia)
Your answer
Business Model ( How are you going to make money?)
Your answer
Stage (Describe where you are. Idea? Prototype? General release?)
Your answer
Milestones (What are the gates for your development? More specific for the 12 month horizon)
Your answer
Impact (Expected revenue, employment, social, environment over 3 and 5 and 10 year horizons. Qualitative and quantitative)
Your answer
Are you a TiE Bangalore member?
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Yes
No
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