B-Plan For You: Registration – Atal-GreatLakes Balachandran Incubator

Full Name *

Contact Number *

Preferred Email ID *

Linkedin Profile Link

Category *

Student ID *

Location *

Years of Work Experience *

Have you been placed OR are you currently working with an organization? If yes, provide details *

Have you taken any course related to entrepreneurship? If yes, Provide details *

Are you currently working with an established startup? If yes, provide details and mention stage (idea/prototype/pre-market/market/scale-up) *

Are you currently working on a startup idea? If yes, provide details and mention stage (idea/prototype/pre-market/market/scale-up) *

Name of organization / academic institution *

Designation / Course *

Location *

Years of Work Experience *

Have you taken any course/training in entrepreneurship previously? If yes, provide details *

Are you currently working with an established startup? If yes, provide details and mention stage (idea/prototype/pre-market/market/scale-up) *

Are you currently working on a startup idea? If yes, provide details and mention stage (idea/prototype/pre-market/market/scale-up) *

Are you interested in investing in startups or providing startup mentoring ? Why? *

Are you interested in incubation support from AGBI upon course completion? *

How did you hear about this program? *