STARTUP RECOGNITION FORM

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1 Entity Details
Please select your areas of interests. ᱟᱢ ᱰᱷᱮᱨ ᱩᱛᱟᱹᱨ 5 ᱥᱮᱣᱟ ᱠᱚ ᱵᱟᱪᱷᱟᱣᱟᱠᱟᱫ ᱟ.
ᱦᱟᱛᱟᱣᱟᱠᱟᱫᱟᱜ ᱮᱞᱮᱠᱷ ᱦᱟᱞᱤ ᱞᱟᱹᱜᱤᱫ, ᱟᱢᱟᱜ ᱯᱨᱚᱯᱷᱟᱤᱞ ᱥᱟᱥᱟᱯᱲᱟᱣ/ᱦᱟᱹᱞᱤ ᱢᱮ
Please enter valid pancard
2 ᱯᱩᱨᱟᱹ ᱴᱷᱤᱠᱟᱹᱱᱟ (ᱚᱯᱷᱤᱥ)
Please enter only letters.
Invalid Pin Code.

 
3 Authorized Representative Details
Invalid mobile number.
4 ᱱᱤᱫᱮᱥᱟᱠ (ᱠᱚ) / ᱵᱷᱟᱹᱜᱟᱹᱨᱤ(ᱠᱚ) ᱵᱤᱵᱨᱚᱱ
ᱮᱥ. ᱱᱚᱢᱵᱚᱨ. DIN/DPIN ᱱᱤᱫᱮᱥᱚᱠ / ᱜᱚᱲᱚᱵᱤᱡᱟᱜ ᱧᱩᱛᱩᱢ Gender ᱢᱳᱵᱟᱭᱤᱞ ᱞᱮᱠᱷᱟ Postal Address ᱤᱢᱮᱞ ᱟᱭᱰᱤ
Mobile No is invalid ᱤᱢᱮᱞ ᱴᱟᱸᱣ ᱫᱚ ᱵᱟᱝ ᱜᱟᱱᱚᱜ-ᱟ
 
 
5 Information Required

ᱮᱥ. ᱱᱚᱢᱵᱚᱨ. Applied For ᱧᱩᱛᱩᱢ ᱚᱞ ᱦᱚᱪᱚ/ᱵᱟᱛᱟᱣ ᱮᱢᱟᱜ Application No.
Patent
Trademark
Copyright
Design
Plant Variety
Title ᱱᱟᱣᱟ ᱵᱮᱱᱟᱣ , Improvement
Product
Service
Process
*
*
 
 
6 Startup Activities
(Please enter a minimum of 100 characters and a maximum of 400 characters.)
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(Please enter a minimum of 100 characters and a maximum of 400 characters.)
(Please enter a minimum of 100 characters and a maximum of 400 characters.)
(Please enter a minimum of 100 characters and a maximum of 400 characters.)
(Please enter a minimum of 100 characters and a maximum of 400 characters.)
 
 
7 ᱟᱯᱱᱟᱨ ᱛᱮ ᱯᱚᱨᱢᱟᱱᱤᱛ
(ᱫᱟᱭᱟ ᱠᱟᱛᱮ ᱠᱚᱨᱯᱚᱨᱮᱴ ᱢᱟᱢᱞᱟ ᱨᱮᱭᱟᱜ ᱢᱚᱸᱛᱨᱟᱞᱚᱭ ᱫᱟᱨᱟᱭ ᱛᱮ ᱵᱟᱦᱟᱞ ᱠᱚᱢᱯᱟᱱᱤ ᱦᱟᱛᱟᱣᱟᱠᱟᱫ ᱯᱚᱨᱢᱟᱱ ᱥᱟᱠᱟᱢ ᱟᱯᱞᱚᱰ ᱢᱮ। ᱯᱚᱨᱢᱟᱱ ᱥᱟᱠᱟᱢ ᱫᱚ ᱯᱤ.ᱰᱤ.ᱮᱯᱷ., ᱯᱤ.ᱮᱱ.ᱡᱤ., ᱡᱮ.ᱯᱤ.ᱡᱤ. ᱯᱷᱚᱨᱢᱮᱴ ᱨᱮ ᱦᱩᱭᱩᱜ ᱞᱟᱹᱠᱛᱤ, ᱚᱠᱟ ᱨᱮᱭᱟᱜ ᱢᱟᱨᱟᱝ ᱛᱮᱫ 5 MB ᱠᱷᱚᱱ ᱵᱟᱲᱛᱤ ᱟᱞᱚ ᱦᱩᱭᱩᱜ.) (ᱯᱷᱟᱨᱢ ᱨᱮᱭᱟᱜ ᱧᱩᱛᱩᱢ ᱚᱞ ᱦᱚᱪᱚ ᱫᱟᱨᱟᱭ ᱛᱮ ᱮᱢᱟᱠᱟᱱ ᱠᱚᱢᱯᱟᱱᱤ ᱧᱩᱛᱩᱢ ᱚᱞ ᱦᱚᱪᱚ ᱯᱚᱨᱢᱟᱱ ᱥᱟᱠᱟᱢ ᱟᱯᱞᱚᱰ ᱢᱮ। ᱯᱚᱨᱢᱟᱱ ᱥᱟᱠᱟᱢ ᱯᱤ. ᱰᱤ. ᱮᱯᱷ.,ᱯᱤ. ᱮᱱ. ᱡᱤ., ᱡᱮ. ᱯᱤ. ᱡᱤ. ᱯᱷᱚᱨᱢᱮᱴ ᱨᱮ ᱦᱩᱭᱩᱜ ᱞᱟᱹᱠᱛᱤ, ᱚᱠᱟ ᱢᱟᱨᱟᱝ ᱛᱮᱫ 5 ᱮᱢ. ᱵᱤ. ᱠᱷᱚᱱ ᱵᱟᱲᱛᱤ ᱟᱞᱚ ᱦᱩᱭᱩᱜ ᱟ.)
(Please upload the Authorization letter on your company letterhead) Authorization Letter Format
For Validation stage startups, please attach a proof of concept like website link/video/pitchdeck etc. showcasing the product prototype/service offering. For Early Traction and Scaling stage startups, please provide a video/pitchdeck or support the entity’s website link along with a video/pitchdeck.
  • ᱮᱥᱴᱟᱨᱴᱟᱯ ᱠᱚ 10 ᱥᱮᱨᱢᱟ ᱠᱷᱚᱱ ᱵᱟᱲᱛᱤ ᱞᱟᱹᱜᱤᱫ ᱵᱟᱝ ᱥᱟᱹᱢᱤᱞ ᱦᱚᱪᱚ ᱟᱠᱟᱱᱟ
  • Turnover of the entity of any of the financial years since incorporation has not exceeded one hundred crore rupees
  • ᱱᱟᱣᱟ ᱵᱮᱱᱟᱣ ,ᱞᱟᱦᱟᱹᱱᱛᱤ ᱟᱨ ᱵᱟᱝ ᱟᱨᱡᱟᱣ ᱚᱰᱚᱠ ᱨᱮᱭᱟᱜ ᱞᱟᱦᱟ ᱟᱨ ᱵᱟᱝ ᱠᱟᱹᱢᱤ ᱠᱚ ᱟᱨ ᱵᱟᱝ ᱠᱟᱹᱢᱤ, ᱟᱨ ᱵᱟᱝ ᱡᱩᱫᱤ ᱱᱚᱣᱟ ᱨᱚᱡᱜᱟᱨ ᱥᱤᱨᱡᱟᱣ ᱟᱨ ᱵᱟᱝ ᱫᱷᱚᱱ ᱥᱤᱨᱡᱟᱣ ᱨᱮᱭᱟᱜ ᱪᱮᱛᱟᱱ ᱠᱷᱮᱢᱚᱛᱟᱣᱟᱜ ᱢᱤᱫ ᱢᱟᱯᱷ ᱵᱮᱵᱥᱟ ᱢᱩᱰᱟᱞ ᱠᱟᱱᱟ; ᱟᱨ
  • Has not formed the entity by splitting up or reconstruction of a business already in existence;
All the above checkboxes are mandatory

Please select either of the below options applicable for the entity:*

OR
(Please upload Recognition certificates, NCLT Order, Form INC-28 and Financial statement evidencing paid up capital and turnover as per the limits prescribed in the preceding FY in pdf,png,jpg with file size not exceeding 5 MB)

Please select the option/s mentioned below, if applicable, and provide supporting documents:

(Please upload original Incorporation Certificate and Incorporation Certificate upon conversion in pdf,png,jpg with file size not exceeding 5 MB)
(Please upload original Incorporation Certificate and Incorporation Certificate upon conversion for Private Limited and LLPs and original Incorporation Certificate, Incorporation Certificate and Copy of the PAN card for Registered Partnerships in pdf,png,jpg with file size not exceeding 5 MB)
  • change in domicile State, or
  • due to conversion of entity from one form to another or
  • change in industry/ sector
  subject to approval obtained as per the relevant act. (Please upload original Incorporation Certificate and Incorporation Certificate upon CIN/LLPIN change in pdf,png,jpg with file size not exceeding 5 MB)
 
 
Please Note : The details entered by the Startup are on the basis of self-certification.