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
* Required
Name
*
Please provide your full name
Your answer
Email Address
*
Please provide your email address
Your answer
Current Designation
*
Please provide your current designation in startup ex. founder, CEO, CTO, etc.
Your answer
Mobile number
*
Number to which you wish to receive communication from Founders Genie Group
Your answer
Current Location
*
Please mention your current City and State
Your answer
Please provide URL to your Linkedin Profile
Preferred, do mention if unavailable
Your answer
Qualifications
Do let us know you last qualifications as applicable
Your answer
Startup Name
*
Please provide your start ups complete company name
Your answer
Industry
*
Please mention the industry your startup is engaged in
Your answer
Startup Lifecycle Stage
*
Idea Stage
MVP Stage
Incorporated (Growth) Stage - 1 to 5 Yrs
Incorporated Stage - >5 Yrs
Year of Incorporation
*
Please provide the year of incorporation of your startup
Your answer
Startup website
*
Please provide the link to your company's website. Please write "Not Applicable" if not yet functional.
Your answer
I am looking to join the forum because..
Please tick mark the key pain points that you looking solutions for, from Founder's genie
Support in solving entrepreneurial problems
Access to Talent
Be a Co-Founder
Find a Co-founder
Access to business networks to help scale up
Staying informed and updated
Support in understanding Govt policies and tax regimes
Access to investor network
Access to Mentorship
Explore synergies with fellow entrepreneurs
Go-to Market support
Legal Advisory
Digital Marketing
Web & App Development
Other:
Current Valuation range of my startup is
*
Please provide the current valuation range of your company
< $ 1 mm
$ 1 mm to $ 5 mm
$ 5mm to $ 10mm
$ 10mm to $ 50 mm
> $ 50 mm
Details of other Co - Founders
Please provide Full Name, mail id, phone number of other Co - Founders who wish to join the forum.
Your answer
How did you come to know about the forum
*
Please provide the full name of the person who has referred you to Founders Genie
Website
Linkedin
Other:
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