Apply Now - AgeTech-Bharat Accelerator

1

Basic Information

Tell us about your startup

Startup Name *

Website (if any)

Year Founded *

Country *

Headquarters City *

2

Founder & Team

Tell us about the people behind the startup

Founder Name *

Founder Email *

Founder Phone *

Founder LinkedIn

Number of Co-Founders *

Team Size (Total) *

Key Team Expertise * (select at least 2)

Healthcare/Medical Technology/Engineering Business/Operations Design/UX Data Science/AI Regulatory/Legal

Select at least 2 areas where your team has strong expertise.

3

Product & Solution

What are you building for elderly care?

Product Name *

Product Stage *

Technology Type *

Select 1–3

Product Description *

200–2000 characters

Unique Value Proposition *

100–500 characters

Is your product live? *

No Alpha/Beta Yes

Active Users (if live)

Monthly Revenue (INR)

4

Market & Business Model

Who are your customers and how will you reach them?

Target Customer Segment *

Elderly (60+) — Direct Family Caregivers Senior Living Facilities Healthcare Providers Government/NGOs Corporates (Employee Benefits)

Geographic Market Focus *

India Southeast Asia Middle East Global

Total Addressable Market (INR) *

Pricing Model *

Go-to-Market Strategy *

Main Competitors *

Funding Raised to Date (INR) *

Funding Ask (INR)

5

Regulatory & Compliance

Regulatory requirements and data handling

Regulatory Category *

Data Storage Location *

Certifications Status *

Certified In Progress Planned Not Required

Privacy Policy Published? *

Yes In Progress No

6

Impact & Sustainability

Social impact and alignment with global goals

Social Impact Description *

200–1000 characters

UN SDG Alignment *

Select 1–3 UN Sustainable Development Goals your solution addresses

SDG 3: Good Health SDG 8: Decent Work SDG 9: Innovation SDG 10: Inequalities SDG 11: Sustainable Cities

Language Support *

7

Partnerships & Ecosystem

Your existing network and AMTZ interest

Existing Partnerships

Open to AMTZ Partnership? *

Yes Maybe No

Willing to Co-locate at AMTZ? *

Yes Partially No

Media Coverage / Awards

8

Discovery & Legal Agreements

How you found us and required consents

How did you hear about us? *

Referral Name (if applicable)

Additional Comments

Legal Agreements * — all four required

I agree to AgeTech-Bharat's Terms & Conditions and understand the program structure, equity terms, and selection process. I agree to the Non-Disclosure Agreement (NDA) and understand that information shared in this application is confidential. I consent to AgeTech-Bharat contacting me via email and phone regarding this application and program updates. I consent to processing of my application data for evaluation purposes in accordance with applicable data protection laws.

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