PHD chamber | Startup Forum

MEMBERSHIP FORM FOR STARTUP FORUM (for startups and incubators)

Name of Organisation/Company. *

Name of Founder / Co- Founder. *

Name of Directors/Partners. *

Address for Correspondence. *

Telephone. *

Email *

Website URL (if any)

Whether the Company is listed. *

Yes No

Year of Incorporation. *

Number of Employees. *

Nature of Business. *

Sector/Industry. *

Year of Registration (Year of Registration should be less than 10 Yrs). *

Certificate of Incorporation (Scanned Attested Copy Required). *

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Membership of other Chambers/Associations. *

Is your Company Registered with Department of Promotion of Industry and Internal Trade (DPIIT),if yes, registration number. (Optional)

Member of any Incubation Centre/accelerator program, if yes, details. (Optional)

GST No. *

PAN No. *

I/We declare that we are a Startup organization working towards innovation, development, deployment or commercialization of new products, processes or services driven by technology or intellectual property.