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Idea Collection Form
This form is being circulated to collect the details of students, faculty and alumni who
have a business idea and want to get it incubated at Venture Development Centre, GITAM
Deemed to be University.
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* Indicates required question
Email
*
Your email
Name
*
As per University Records
Your answer
Registration Number/Employee ID
*
Mention 'Alumni' if you have passed out
Your answer
Mobile Number (10 Digits)
*
Your answer
Campus
*
Bengaluru
Hyderabad
Visakhapatnam
Program
*
B.Tech
M.Tech
BBA
MBA
MBBS
B.Com
M.Com
B.Sc
M.Sc
Architecture
PhD
Other:
Year of Study
*
1st Year UG
2nd Year UG
3rd Year UG
4th Year UG
5th Year UG
PhD/Masters
Graduated/Alumni
GITAM Faculty
Department
Your answer
Please give a title to your venture or venture idea (50 characters or less, including spaces) :
*
Your answer
At what stage is your Venture in?:
*
I have a business idea, but do not have any paying customers
I have a business and one or more paying customer(s)
In 250 characters or less (including spaces), give a high-level summary (also known as the “elevator pitch”) of your venture or venture idea :
*
Your answer
If you have a website or other forms of Internet pages (e.g. Facebook, LinkedIn)for your business, please provide the link(s) here:
Your answer
How have you funded your work so far:
*
Own Money
Friends and family invested
Outside Investment
Equity
Yet to Start
Required
Teammate 1 Name
Your answer
Teammate 2 Name
Your answer
Teammate 3 Name
Your answer
A copy of your responses will be emailed to the address you provided.
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