DST NIDHI ACCELERATOR APPLICATION FORM NIDHI Accelerator Program of DST for Growth & Scale-up Stage Startups Startup Name *Founder/Co-Founder/CEO *Email ID *Contact Number *Is your company registered under the MCA? *YesNoCIN Number *Year of incorporation *Location (City) *Sector ****Select***HealthcareAgri Tech & Allied AreasIndustry 4.0Environment & SustainableClean TechWaste to WealthEdutechSocial InnovationDefenceBiotechnologyAny OtherSpecify The Sector *State ****Select***Andhra PradeshArunachal PradeshAssamBiharChhattisgarhGoaGujaratHaryanaHimachal PradeshJharkhandKarnatakaKeralaMadhya PradeshMaharashtraManipurMeghalayaMizoramNagalandOdishaPunjabRajasthanSikkimTamil NaduTelanganaTripuraUttar PradeshUttarakhandWest BengalAndaman and Nicobar IslandsChandigarhDadra and Nagar Haveli and Daman and DiuDelhiJammu and KashmirLadakhLakshadweepPuducherryCurrent Technology Readiness Level (TRL) of the Proposed Technology***Select***TRL 5: MVP/Prototype ReadyTRL 6: Early Stage ValidationTRL 7: Late Stage Validation/Field TestingTRL 8: Pre-Commercialization/DeploymentTRL 9: Commercialization & PilotingCompany Website URL *Shareholding DetailsShare Holder Name *% of Share Holding *Have you filed for any patents? *YesNoPatent Application Number, Status & What is the patent filed for?Patent Number *Title of The Patent *Status *Environmental and community impact of the solution *Problem-solution fit and who is your beneficiary segment? *Comparison with other technologies/gold standards in the industry? Provide details on the same, including both technical as well as commercial aspects. *Describe why your solution is poised to be the market leader in its category, and how your organization is planning to scale it up accordingly. *Describe the regulatory roadmap for your innovation in India and other countries. Provide the currently available certifications and approvals for the said innovation. *Describe your plans for global expansion. *Provide details about the Govt. Grants ReceivedGrant name *Funding Agency *Grant Amount *Year *Prior investment raised (for last 5 years) (Invested Amount & Name of VC firm/HNI/Angel Investor)Investment Amount *Investor Name *Year *Current Funding Stage ****Select***Seed StagePre-Series ASeries APre-Series BSeries BPre-Series CSeries C & BeyondValuation of Last Investment Raised *Current Valuation (As per Valuation Report) *Details of Customers Reached/Product Deployed (if any) *Current Co-Investment Commitment Details (if any)Investment Amount *Investor Name *Status *Revenue Generated in last 3 FY (if any) *Upload Product/Technology Image *Drag and Drop (or) Choose FilesMax Upload Size 8MB, Upload PhotoUpload Updated Pitch Deck *Drag and Drop (or) Choose FilesMax Upload Size 8MB, Upload in pdf formatUpload one-pager tech brief (in the given template only) *Drag and Drop (or) Choose FilesMax Upload Size 8MB, Upload in pptx formatUpload Company CIN Certificate *Drag and Drop (or) Choose FilesMax Upload Size 8MB, Upload in pdf formatOne-Pager Tech Brief Template Download Template Submit
