Submit Your Startup
Application Form
If ​You are a Startup you​ must ​be a part of YI INNOVEX 2019
1. Sections market with asterisk * are mandatory to be filled
2. Multiple applications can be filled by the same individual for different businesses
3. Form to be filled by Persons and Entities based out of India. In case of any Indian based out of India can also fill out the form if the major work of the enterprise is focused in India
4. If online application is not working then applications can be mailed to innovexodisha@gmail.com latest by 12th Nov 2019
5. Startups registering here would also be eligible for nomination/ shortlisting for Startup Awards 2019 by YI Innovex. Awards will be presented for the following categories: Startup of the Year; Innovative Enterprise of the Year; Women Entrepreneur of the Year; Student Entrepreneur of the Year; Social/ Rural Enterprise of the Year
6.Categorization for awards will be based on the answers submitted below at the sole discretion of YI and jury members
7. Startups will be provided dedicated booth space at YI Innovex Pavilion at Enterprise Odisha Expo 2019 at Unit 3 Exhibition Ground, Bhubaneswar at a discounted rate of INR 4,000/- for entire 4 days for exhibiting their product/ services
1. Applicant Information
Please complete the following general information to provide the necessary applicant background information.
Applicant Name (First and Last): *
Your answer
Age (In Years) *
Your answer
Gender *
Name of the Startup: *
Your answer
Type of the Organization:
Phone Number: *
Your answer
Email ID: *
Your answer
Correspondence Address: *
Your answer
City: *
Your answer
State: *
Your answer
Pin Code: *
Your answer
Country: *
Your answer
Team Members Name (if any):
Your answer
Are you a Student? *
If Yes, Mention Institution Name
Your answer
How did you come to know about YI INNOVEX? : *
Your answer
2. Startup's Information
Please complete the following information to provide the necessary information about your organisation.
Stage of implementation (Kindly select the appropriate option) *
Required
Date of Incorporation/ Launch of the organization/ Prototype testing *
MM
/
DD
/
YYYY
Startup Odisha / Startup India Registration ID *
If not registered mention N/A
Your answer
Current Location *
Your answer
Website (if any)
Your answer
Sector *
Your answer
Number of Employees *
Your answer
Financial year 2018-19 Revenue (In INR Million) *
Your answer
Have you raised any outside capital? *
Seed Fund/ Angel Fund/ Venture Capital Fund/ Grant, etc
Have you filed any patents? *
3. Idea/ Product/ Organization Information
Please complete the following information to provide the necessary information on your proposal.
Brief Information on your Idea/ Product/ Organization *
What problem/gap does your idea/ product/ organization addresses? What is your business model? (Max 50 Words)
Your answer
Brief Biography of Founding Team Members *
Information on Educational Qualification/ Past Experience/ Relevant Skill Set etc (Max 100 Words)
Your answer
Detailed Information on Idea/ Product/ Organization *
What are the activities that you have conducted so far? Provide us some proof of pilot of your work. Share information on what you have done so far. Any recognition/ awards received in past, etc. (Max 100 Words)
Your answer
Market Opportunity *
Who are your target beneficiaries/customers? Provide information on existing market already targeted and future addressable market? (Max 50 words)
Your answer
Competitive Advantage *
What is unique about your work that will differentiate you from competitors in your target market leading to sustainable competitive advantage? (Max 50 Words)
Your answer
Technical Expertise *
What is the motivation to pick up this project to work on? Do you have prior experience in this sector? Have you started any other business in past? (Max 50 Words)
Your answer
Investment *
Has the startup raised any money from outside investor. Is it bootstrapped? What is the future fund raising requirement? (Max 50 Words)
Your answer
Other Information
Brief Information on financial performance, customer base, other growth indicators? (Max 50 Words)
Your answer
Online Link for Document Submission, if any
Share the online link (Google Drive, Dropbox, WeTransfer, etc) for any material relating to your idea/ product/ organization (Eg pitch deck, video capturing your idea/ work, product information brochure, recognition received, press coverage clippings, etc)
Your answer
Do you want to exhibit your Startup at YI Innovex Pavilion at Enterprise Odisha Expo 2019: *
Startups shortlisted will have to pay discounted price of INR 4,000/- on or before 12th Nov 2019 in favor of Confederation of Indian Industry (CII). This includes basic infrastructure at expo booth along with daily lunch coupon for 2 representatives
Declaration *
Required
Contact
Any questions? Please contact:
Sakyasingha Mahapatra(8114347999), Gaurav Kedia(8097519775), Satyajit Mishra(7406700555)
Email: innovexodisha@gmail.com
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