Registration Form - Founders Genie
This form is to be filled by Individuals seeking to join Founders Genie group. To know more about Founders Genie, Log on to our website: www.foundersgenie.com
Name *
Please provide your full name
Email Address *
Please provide your email address
Current Designation *
Please provide your current designation in startup ex. founder, CEO, CTO, etc.
Mobile number *
Number to which you wish to receive communication from Founders Genie Group
Current Location *
Please mention your current City and State
Please provide URL to your Linkedin Profile
Preferred, do mention if unavailable
Qualifications
Do let us know you last qualifications as applicable
Startup Name *
Please provide your start ups complete company name
Industry *
Please mention the industry your startup is engaged in
Startup Lifecycle Stage *
Year of Incorporation *
Please provide the year of incorporation of your startup
Startup website *
Please provide the link to your company's website. Please write "Not Applicable" if not yet functional.
I am looking to join the forum because..
Please tick mark the key pain points that you looking solutions for, from Founder's genie
Current Valuation range of my startup is *
Please provide the current valuation range of your company
Details of other Co - Founders
Please provide Full Name, mail id, phone number of other Co - Founders who wish to join the forum.
How did you come to know about the forum *
Please provide the full name of the person who has referred you to Founders Genie
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