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Mentors
Udhyami Yuva Challenge
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Application Form
Application Form
I. ABOUT THE START-UP DETAILS
Company Name
*
E-mail
*
Mobile No
*
Location
*
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
Social Media Link
Is your company registered?
*
Yes
No
Year of Establishment
*
Company Registered as:
*
For Profit Company
Not for Profit Company
Non-Governmental Organization with Social Welfare Council
I don't know
Focus Area of Work:
*
Waste Management
Recycling/Upcycling
Urban Infrastructure
Renewable Energy
Water
Sanitation
Climate Change
Technology Solution for any of the above
If Other, Mention it:
Number of Founders/Co-Founders
*
Number of Employees
Full-Time Employees
Part-Time Employees
Intern
Freelancer
II. ABOUT THE APPLICANT'S PERSONAL DETAILS
First Name
*
Last Name
*
E-mail
*
Mobile No.
*
Location
*
Street Address
Apt, Suite, Bldg. (optional)
City
State / Province / Region
Postal / Zip Code
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo (Brazzaville)
Congo
Costa Rica
Cote d\'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor (Timor Timur)
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Oman
Pakistan
Palestinian Territory
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Western Sahara
Western Samoa
Yemen
Zambia
Zimbabwe
Country
What is your role in the company?
*
Have you worked outside your comfort zone in the past? Would you be ready to work out of your comfort zone again if you get selected for the program?
*
Yes
No
Have you taken any drastic actions in the last 6 months to take your company to the next level? Can you rate your commitment to take your organization to the next level through this program on a scale of 0 to 10?
*
III. ABOUT YOUR START-UP
1. Define your business? Is it a service or product? What social issue does it address or how does it improve/add value to the users’ lives? (300 words)
*
2. What is the expected impact that you are trying to achieve and who are the beneficiaries? (200 words)
*
3. What was your inspiration to launch this product/pursue this idea? (500 words) (Please share your personal story and explain why you have picked this particular social problem)
*
4. What research did you do before starting your organization? (200 words)
*
5. What is your target market? Please write the profile of customers, segment and geographic area that you are targeting. (200 words)
*
6. Have you spoken to organizations that are doing similar work? List them out and explain why you needed to start a new organization instead of joining or collaborating with an existing organization. (200 words)
7. What makes your organization different from the other organizations addressing the same social problem? (200 words)
8. Please list activities undertaken to develop your idea further. Have you done any product sampling, are you selling your product or service, marketing initiatives undertaken till date
9. What are the three biggest challenges that you have faced till date and how you have overcome them?
*
10. How many paying customers do you have for your product or service? How much revenue have you generated till date?
*
11. Do you think your business is scalable? Local? National? Global? Where do you see your start up in 1 year?
*
12. What is your motivation to join the program? Please write about your current needs, expectation from the programs.
*
13. Would you be able to pay a nominal fee for the program? This would be in the form of a refundable deposit to ensure commitment.
*
IV. ABOUT THE TEAM BACKGROUND
1. Tell us about your team. 5 key team members – their name, their role, their backgrounds, their unique areas of expertise, academic qualification and why they are valuable to you and your organization.
*
Email
Verification
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*
Example: 12
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