GENESIS PILOT - Application Form
1. Startup Details
Startup Legal Name *
DPIIT Recognition Number *
Startup Registration Type (Pvt. Ltd. / LLP) *
--Select--
Pvt. Ltd.
LLP
Others
Upload Certificate of Incorporation *
Max 5 MB. PDF preferred.
Registered Address *
Domain (select all that apply) *
ICT (Information & Communication Technology)
AI (Artificial Intelligence)
Electronic Design & Manufacturing
Tech/Deeptech Products
Other (Specify)
Are you a beneficiary of TIDE 2.0 scale-up or SAMRIDH? *
No
Yes
2. Solution/Product Details
One-Line Description of the Solution *
Description of the Innovation & Technology Novelty *
Upload IP details if available
Market & Scalability Potential *
Upload Pitch Deck *
Pitch Deck must include: Problem, Solution, Technology, Market, Business Plan, Team, EIR Fund utilization plan.
3. Team Details
Founder/CEO Name *
Email Address *
Contact Number *
Briefly describe the team's Technical Expertise and Prior Entrepreneurial Experience *
4. Pilot Project Details
Pilot Project Title *
Pilot Scope, Deliverables, and Success Benchmarks *
Detailed Implementation Roadmap (Upload) *
Total Funding Requirement (INR) *
Detailed Fund Utilization Plan (Upload) *
5. Pilot Partner & Work Order Details
Pilot Partner Name *
Type of Pilot Partner *
--Select--
Govt. of India Ministry/Department/Organization/Autonomous Body
State Government Department/Organization/Undertaking
Public Sector Undertaking (PSU)
Fortune 500 Company
Recognized Unicorn Startup
Large Corporate (Indian/Global)
Upload Approved Purchase Order (PO) / Work Order (WO) *
Submit Application