Elevate Application Details

1. Personal Details

Registration Number:
Name of the applicant:
Designation:
Email 1 (Primary):
Email 2 (Secondary):
Mobile Number:

2. Application / Company Information

Name of the Company:
Type of entity/ company:
Date of Incorporation/ Registration of Entity (Should be within 10 years):
Incorporation / Registration Number:
Company Website:
Registered Address of the Entity:
District:
State:
City:
Pincode:
Correspondence Address of the Entity:
City:
District:
State:
Pincode:
Is your startup registered/ incorporated in Karnataka:
Is your revenue under Rs. 100 Crore from the date of Incorporation ?:
Is 50% of your qualified workforce engaged in Karnataka?:
Is your startup/ entity working towards innovation, development or improvement of products or processes or services, or if it is a scalable business model with a high potential of employment generation or wealth creation ?:
Is your startup promoted by a Women Entrepreneur? (Refer to the definition. You will have to furnish valid documents/ proofs at later stages):
Is your Startups promoted by SC/ ST Entrepreneurs? (Refer to the definition. You will have to furnish valid documents/ proofs at later stages):
Title of the Project:
Describe the Innovation (Technology/ Novelty):
Sector / Industry:
Technology Vertical 1 :
Which stage is your startup in ?:
What have you done till now with respect to the idea and what more needs to be done to commercialize the idea?. This section should describe the Technology Readiness Level and Resources needed to take the Technology further towards commercialization.:
Have you received financial support / award for your present work? If yes, please furnish funding amount in rupees and details :
Are you involved in this venture full time ?:
Has your startup been a winner or received any grant from Government of Karnataka ?:
Have you filed or received any patent under your startup ?:
Please mention the Mentors or Advisors on your board:
Who are your competitors in this space and what is your USP (Unique Selling Proposition)? :
Are you incubated in GoK Supported incubators (Please choose one among the following):
Are you a part of any other incubator/ accelerator program ?:
Project milestones: What will be the proposed outcome at the end of the project and how much time is required (in terms of month):

3. Declaration

Pitch Deck
Incorporation or Registration Certificate / Registration under Shops & Establishment / Registration under Partnership Act / RoC