NanoSparX Application Form
NanoSparX Application Form
1
User Details
2
Confirmation
Provide Your Information
Last Date to Apply : 10
th
July, 2024
Name
*
Designation
*
Organization
*
Course Pursuing
*
Address 1
Address 2
City
*
State
*
Country
*
Postal Code
Contact Number.
*
Email Address
*
Alternate Email Address
2 or 3 minutes video bites can be share to the Email address:
shyam.br@mmactiv.com
Startup/ Idea Name
*
URL (Website)
http://
Sector of your Startup /Idea
*
-- Select Sector --
Medicine
Electronics
Agriculture
Healthcare
Manufacturing
Environment/Energy
Others
Startup/ Idea - Description
*
Total word count:
0
words. Words left:
500
Any Products
*
Key Successes so far
*
Potential Market Size
*
Company Size (No. of Employees)
*
Is your start-up registered?
*
-- Select --
Yes
No
Date of Start-up Registration
Enter text see in the image
*
AIP8L
By clicking on 'Continue' / 'Submit', I consent to receive emails from the organizer.
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