Form

First name*

Last name*

Phone number*

Email*

LinkedIn profile URL

Venture Information

What is the current maturity stage of the venture?

Industry

Brief Description of the Venture

Objective, Target Market, Impact etc.

Problem Statement

Describe the problem your venture aims to solve.

At what stage is your venture currently?

Solution

Describe your AI-based solution and the challenges it addresses.

Unique Value Proposition

How does your venture stand out from the competition?

Current Progress and Milestones

Describe any significant milestones you have achieved so far (e.g., product development, customer acquisition, revenue generation).

Target Market and Customers

Describe your target market and customer segments.

Business Model

A brief summary of your business model, operational cost, and the revenue streams.

Team Information

Who are the founders and key team members, and could you provide their names and backgrounds?

Got the skin in the game?

Could you provide examples of how you have personally invested in or supported the venture?

What's your core background?

Financial Information

Current Funding

Provide details of any current funding, including the amount, sources, and terms.

Funding Needs and Utilization

Specify the funding amount you are seeking and how do you plan to utilize it.

Financial Projections

Provide a brief overview of your financial projections for the next 1-3 years.

Additional Information

Referrals

If you were referred by someone, please provide their name and contact information.

Supporting

Attach any relevant documents such as a pitch deck, business plan, or product demo

Declaration and Submission

I hereby declare that the information provided in this referral is true and accurate to the best of my knowledge

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