SMILE

Contact Information

Please provide your personal details.

Full Name:

LinkedIn (or other Online Biography) URL:

Email:

Whatsapp #:

Demographic Information:

Address:

Country of residence:

City:

Gender:

Are you working?:

Yes

No

Age:

Highest level of education completed:

How many years of professional experience do you have?:

Skills and Team Information:

Your role in the startup:

How many hours per week are you working on your idea?

How many people are on your team (excluding you)?

Founders' Names and Roles:

Name	Role	Action

What is your primary skill set?

Startup Information:

Startup Name:

Startup’s Founded Year:

Is your business already registered?

Yes

No

If Yes, When and Where?

Current Stage of Development:

Describe your startup: Write up to 300 words describing your startup idea (or ideas)

Select the two industries that best describe the business you are building:

Cleantech Agritech Smart Cities Edtech Other

Product Details:

Describe your product or service:

What problem does it solve?

Describe the core technology behind your product:

Innovative aspects of your solution:

What is your unique value proposition?:

Who are your target customers?:

Describe your target market:

Current number of users/customers (if applicable):

Monthly or annual revenue (if applicable):

Key milestones achieved to date:

Attachments

Pitch deck or Detailed business description:

Resumes of founding team members:

Any relevant technical documentation:

messages.how_did_you_hear_about_the_program:

I certify that all information provided is accurate and complete to the best of my knowledge.

Application Form