Incubation Cohort 2021 Startup Application Form Section 1STARTUP DETAILSStartup Name Social media handle Website LinkedIn Profile How many people are in the founding team? (Including co-founders and team members) Select123456789More Than 9How many founders/people are working full-time in the business? (Those who are dedicated to your startup) Select123456789More Than 9Where is your startup based in currently? (Primary location of your business or location of your headquarter) Division ChattogramDhakaKhulnaBarishalRajshahiRangpurSylhetWhat industry/sector does your startup operate in? (Ex : Agro/Power/Energy/E-commerce/Tech & ICT) Contact person's name Role in the organization Email Contact Number Section 2SOLUTION DETAILS Â What problem are you solving? SelectIndustry & InnovationQuality EducationPovertyHealth & Well-beingAffordable & Clean EnergyConsumption & ProductionEnvironment & ClimateSmart CityOthersWhat innovation are you bringing to the local market? Please elaborate. Describe your product and its problem solving method. Describe your target audience. What stage is your startup in? SelectIdea StageProtoypeMVPGenerating RevenueIs your startup registered as an entity under the law of Bangladesh? SelectYesNoIf YES, what is the status of your company? SelectPartnershipSole ProprietorshipNon-profit CompanyFor-profit companyNGOFoundation/TrustWhat is your vision? What traction does your business have so far? Please elaborate. Have you raised any prior investment? If YES, then how much have you raised? (Please mention the sources such as personal, family, friends, loan, etc.) Why should Startup Chattogram invest in you? Please elaborate. (Feel free to write about the impact of your business as well) Is there a way to learn more about your startup? (Links of any Article, Interview, Publication etc.) Type No, if you don't have any. Provide any Google Drive/Dropbox/OneDrive/shareable link of your Pitch Deck. Please mention if you have been in any other pre-accelerator/accelerator program before? How did you hear about the program? SelectWebsiteCampus AmbassadorNewspaperWorkshop or presentationFacebookLinkedinInstagramLeafletFamily & FriendsPromotional SMSEmail I have read and agreed to the Terms and ConditionsSubmit
