Startup 50 2017 - Nomination Form
Thanks in advance for taking the time out to fill this. Please share as much information as possible to help our Jury members get a nuanced perspective of your companies.

Feel free to write to (Prem Sivakumaran, Director, Startup50 Awards) prem@growthmechanics.in in case of any questions.

Email address
Company Name
Your answer
Email Addresses of Founders
Your answer
Names of Founders & Contact Numbers (Mobile )
Please share name/phone no. of one of the founders or corporate communication head.
Your answer
Headquarters Location
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Founded On
MM
/
DD
/
YYYY
Industry
About your Business
(In 3 lines)
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Investors
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Investment amount with dates
Your answer
Financial Highlights (Not Mandatory; But, do fill in to help the Jury)
Revenue, Revenue Growth, Profit (Loss), Gross Margins etc.
Revenue in FY 2017 / FY 2016 and FY 2015
In the following format, as per this example: INR 10.5 cr. / 7.5 cr / 4.2 cr
Your answer
EBITDA in FY 2017 / FY 2016 / FY 2015
In the following format, as per this example: INR 2.2 cr / (loss 1.2 Cr) / (loss 0.7 cr)
Your answer
Total no. of employees
Your answer
Please share quantitative data of Growth in Key Metrics. Example: User Growth Nos., Revenue Growth
No. of customers, Customer growth data, Revenue Growth, Run Rate
Your answer
What differentiates your business model? Please take the Jury through 3 Innovative ideas you've implemented and their impact.
Your answer
OPTIONAL: Please share the social impact, if any, of your business, in addition to job creation
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OPTIONAL: Share links to upto 3 documents (Dropbox, Google Drive, Slideshare) that you'd like the jury to consider (accolades won, employee feedback, board member references etc. Feel free to get creative and come up with interesting documents)
Your answer
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