CREATIVE IDEAS & INNOVATIONS IN ACTION

CiiA FORM 5 FOR STARTUPS

For participation by Startups in CiiA-3 Innovation Exhibition, Competition & Awards.

CiiA-3 INNOVATIONS EXHIBITION, COMPETITION & AWARDS.

Title

Lead Participant’s Name

Gender

Age

WhatsApp / Mobile

Academic Qualifications

Professional Qualifications & Achievements

Local Address

City

State

Pincode

Other Co-Collaborators for the Startup

Title

Name

Age

Mobile

Title

Name

Age

Mobile

Title

Name

Age

Mobile

Start-up Project Name

Start-up Constitution

Project Description (In Brief)

Project Status:

Share Pictures Link & Video-link of the project

How is your Start-up funded

Purpose of Exhibiting in CiiA:

Funding Security

Your other Projects (if any), initiated or already in the market.

Project Name

Description

Status

Project Name

Description

Status

What is required to make your project commercially successful

Incubation Centre Name

Incubation Centre Address

Email of HOD

Your Mentor’s Name

WhatsApp / Cell no.

Referred by:

Contact Number

I am aware, that if selected, there is a participation fee of Rs 20,000 for the exhibition display.

The Project, if selected, is ready for display

I confirm that all the information provided above is true and correct.

For any query regarding FORMS feel free to contact us.