Name of the applicant *

Mobile Number *

Country *

Role in the Organization *
Select the option that best describes your affiliation to the innovation.
Innovator / Individual contributor (no organization formed)Founder / Co-founderCEO / CTO / Senior leadershipScientist / ResearcherOther (please specify below)

Type of Organization *
Select the category that best describes your organization. Enter N/A if no organization exists.
Public sector entityPrivate sector entity (Start-up, SME, larger corporate, etc.)Academic or research institution (University, Research labs, Incubator, etc.)NGO (Trust, Section 8 company working for social causes)N/A — Individual innovator, no organization formed

Name of the Organization *
Name of the start-up, university, institution, etc. Enter 'N/A' if no entity has been formed.

Title of the Innovation *
A clear, descriptive name for your innovation.

One-Line Pitch *

Describe your innovation in a single sentence for a non-expert audience.
e.g. 'A non-invasive device that detects anemia in under 2 minutes at INR 50 per test.'

Domain / Disease or Health Area *
Select the primary health area your innovation addresses.
Cardiovascular disease (ECG, blood pressure, cardiac screening, etc.)Respiratory / Pulmonary disease (TB, COPD, asthma, lung health, etc.)Metabolic conditions (Diabetes, obesity, blood sugar monitoring, etc.)Maternal and child health (anemia, hemoglobin, newborn screening, etc.)Cancer screening or early detectionGeneral diagnostics / multi-disease screeningMental HealthOther (please specify below)

Current Development Stage *
R&D — idea or early research phasePrototype — functional prototype built and testedPilot / Trials — tested in real-world conditions with usersReady for commercialisation — validated, awaiting scale-upCommercialised — available in the market

Problem and Solution * Briefly describe the problem you are solving and explain how your innovation addresses it. Include how your product, process, or service works.

Population Benefit * Who benefits from your innovation? Approximately how many people could be impacted? Describe the specific underserved group targeted and provide evidence or data where available.

Differentiation from Existing Alternatives * How is your innovation different from existing solutions? What gap does it fill that current alternatives do not?

Business Model and Go-To-Market Strategy *Describe your business model and how you plan to reach end users — particularly in underserved or resource-poor communities.

Revenue Generated Please state year-on-year revenue generated by your innovation, if any.

Patents Filed or Granted If you have filed for patents, please share the patent number(s), jurisdiction, and current status.

Awards and Recognition Please specify any previous awards won by the innovation, including the awarding body and year.

External Validation or Published Research Has the impact or efficacy of your innovation been verified by an external agency (e.g. CDSCO, FDA, CE Mark) or published in a reputed journal? Provide relevant links or references.

Relevant Links Share any relevant links below — website, video/YouTube demo, LinkedIn, or any other reference. You may list multiple URLs.

Supporting Documents Upload all supporting documents (investor presentation, brochure, pitch deck, product profile, etc.) into a single Google Drive folder and share the link here.