JewelStart Industry Innovation Challenge

SECTION 1: APPLICANT & STARTUP DETAILS

1.1 Applicant Information (Lead Innovator / SPOC)

1. Full Name *

2. Designation / Role *

3. Date of Birth *

4. Gender *

5. Category (for data purposes only)

6. Email ID *

7. Mobile Number *

8. Highest Qualification *

9. Institute (Highest Qualification) *

10. LinkedIn Profile

11. Citizen of India *

Yes No

12. Address Proof Attached *

13. Current Residential Address *

14. Permanent Address *

1.2 Startup Information

15. Have you incorporated your startup? *

Yes No

16. Registered Entity Name

17. Brand Name (if any)

18. Website

19. Date of Incorporation

20. Type of Entity

21. Incorporation Status

22. CIN / Registration Number

23. GST Number (if applicable)

24. Startup India / DPIIT Recognition Number (if available)

25. Registered City & State

26. Company LinkedIn Page

SECTION 2: FOUNDING TEAM & ORGANIZATION DETAILS

2.1 Team Details (Including Lead Innovator)

At least one team member entry is mandatory. Please ensure Row 1 is filled completely.

Sr.	Name *	Designation *	Qualification	Gender	Email ID *	Contact Number *	LinkedIn Profile	Commitment *
1 *
2
3
4
5
6

2.2 Key Functional Capabilities Available in Team

SECTION 3: PROBLEM STATEMENT ALIGNMENT

3.1 Problem Statement Selection

1. Select the Problem Statement your startup is addressing *

2. Problem Statement Description * – Describe the exact problem your startup is trying to solve.

3. Industry Relevance Statement * – In 150–200 words, explain how your solution is relevant to the selected problem statement and the Gems & Jewellery industry. 0 / 200 words

SECTION 4: EXPECTATIONS FROM JEWELSTART

4.1 Support Expectations

What support are you seeking from JewelStart? (Select maximum 3)

4.2 Are you open to equity-based incubation under the JewelStart program structure? *

Yes No

SECTION 5: DOCUMENTS & ATTACHMENTS

5.1 Mandatory Attachments

Pitch Deck * Download Template

Product Brochure / One Pager *

Demo Video Link

Company Registration Certificate *

Founder Profiles / CVs

Website / Product Link *

Patent / IP Documents (if any)

Financial Statements / Revenue Proof (if applicable)

SECTION 6: DECLARATION

I/We hereby declare that the information submitted in this application form is true and correct to the best of our knowledge. We understand that the information provided may be used by GJEPC, JewelStart, and SINE IIT Bombay for evaluation, screening, incubation, pilot discussions, and related program activities.

We further understand that submission of this application does not guarantee selection into the program.

Name *

Signature (type full name) *

Date *

I agree to the terms and conditions and declare that all information provided is accurate *

JEWELSTART INDUSTRY INNOVATION CHALLENGE

ABOUT THE PROGRAM

The information captured through this application form will be used for:

SECTION 1: APPLICANT & STARTUP DETAILS

1.1 Applicant Information (Lead Innovator / SPOC)

1.2 Startup Information

SECTION 2: FOUNDING TEAM & ORGANIZATION DETAILS

2.1 Team Details (Including Lead Innovator)

2.2 Key Functional Capabilities Available in Team

SECTION 3: PROBLEM STATEMENT ALIGNMENT

3.1 Problem Statement Selection

SECTION 4: EXPECTATIONS FROM JEWELSTART

4.1 Support Expectations

SECTION 5: DOCUMENTS & ATTACHMENTS

5.1 Mandatory Attachments

SECTION 6: DECLARATION