SUBMIT Application

Full Name*

E-mail*

Phone number*

In which industry does your startup operate?

Med

Pharma

Communication

EdTech

AdTech

FinTech

TravelTech

Entertainment

HRTech

MediaTech

E-commerce

MarketTech

Company ID number (as appears in the Registrar of Companies) (if you are already registered)

For registered companies, what is your company’s formal registered name in the Registrar of Companies?

Company Website?

Stage of your startup

Idea

Business Plan

R&D

GTM

Is your startup located in outlying areas?

yes
no

Please describe your business in 140 characters*

Has the company raised funds? If yes – how much (in USD) has already been raised?