STARTUP INDIA QUESTIONNAIRE

S. No. Details required Details to be filled

1. Company/LLP Name

2. Company PAN number

3. Number of employees
(including founders)
4. Details of Company Authorized
Signatory for Account Creation
5. Do you have a Company
Website?
(Mention YES/NO)
6. Mention the Stage in which
your company currently
operates.
Based on company operations KEEP
only 1 out of the 4 options, DELETE
other options)
Please provide below details
Name:
Email Id:
Mobile No.:
If YES, Paste Website URL/Link: _________________
A) Ideation Stage:
(If you have an idea for a Product/Service)
B) Validation Stage:
(If you have built a Minimum Viable Product (MVP)
C) Early Traction:
(If you have acquired customers, generating revenue)

D) Scaling: (If you are generating sustainable profits)

7. Please Specify how is your KEEP only 1 option, DELETE other option
Startup Funded  Bootstrapped (Using Own Funds)
 Funded (Received outside investments)

8. Mention your Interest in Please mention your selection below:

availing following free services  Investors
under Startup India Scheme.  Incubators/Accelerators
 Mentors
 Tax exemptions
 Meeting other Startups
 All of the above
9. Whether any Award or (Mention YES/NO)
Recognition has been received If YES, please provide details of the award along with
by the entity? photo or scan copy of supporting documents

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