Application Form Hello, in order to apply for please fill in all the information requested below. It is important you enter this information correctly. Fields marked with * are mandatory! For further assistance please contact 1-4. Startup information * Startup Name * Webpage Twitter profile if any * Name of the company * Country Please Select Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Cocos Islands Colombia Comoros Congo the Democratic Republic of the Congo Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Islamic Republic of Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Democratic People's Republic Of Korea Republic Of Korea Kosovo Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States Of Micronesia Republic Of Moldova Monaco Mongolia Montserrat Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Occupied Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Serbia Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre And Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands (British) Virgin Islands (US) Wallis And Futuna Islands Western Sahara Yemen Zambia Zimbabwe * Date Founded MM January Febuary March April May June July August September October November December YYYY 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 Your company must be founded less than 10 years ago to be eligible. * Which discipline matches your business area: - Please select - Blockchain Cleantech & Smart Energy Cryptocurrencies Defence (cybersecurity, defence innovation) e-Commerce/Logistics EdTech Enterprise Fashion (sustainable materials and production) Financial technologies, DeFi Food and agriculture HealthTech & BioTech Marketing and advertising Media and Entertainment (gaming, metaverse, esports, VR/AR, NFTs) Mobility and Urban Tech New Materials Robotics Space Technology Other B2B B2C B2G C2C * Please describe: * Short description of the startup * What is the problem that your business solves and for who? * Which existing services will you point out as competitors? How is your business better? * What is your business model? How will the startup generate income and what makes you think your target customer will pay? * Who will be specifically your first customer and how do you plan to attract others like them? * What are the milestones to date and what are you planning to achieve next? * Link to Pitch deck * StartUp Company Logo Logo must be JPG,PNG or GIF up to 2mb. 2-4. Startup Financial Information * Revenue in the last 3 year Please, select We HAVE revenue We DON'T HAVE revenue 1 year ago Currency EUR USD 2 years ago Currency EUR USD 3 years ago Currency EUR USD * Financing Stage Please describe the amount of raised money and company valuation with (minimum 3 digits) for each stage after Pre-seed if you company is in that stage. Pre seed Post Seed * Raised money * Currency EUR USD * Valuated at * Currency EUR USD * Lead Investor * Closing Date Round A * Raised money * Currency EUR USD * Valuated at * Currency EUR USD * Lead Investor * Closing Date Round B * Raised money * Currency EUR USD * Valuated at * Currency EUR USD * Lead Investor * Closing Date Round C * Raised money * Currency EUR USD * Valuated at * Currency EUR USD * Lead Investor * Closing Date * Аre you in currently in an open Investment round Yes No * Who is the lead investor for your upcoming round? Name the Lead Investor/s if no Lead Investor put N/A What is the company valuation for this round by the lead investor? € * What is the amount of financial commitments you have so far? € * What would be ideal amount of financing via the Founders Games? € Development stage (The round you are looking to raise): Pre-MVP Post breakeven MVP Ready Pre-revenue Post-revenue Link to Data Room Data Room password 3-4. Contact person * First Name * Family Name * Email Not your email? Clear! * Phone * Where did you hear about Webit? Webit website Online advertising Facebook LinkedIn Twitter Event StartUp Challenge partners Other Direct Contact Please, specify Who provided you with the wildcard? Full name, Company 4-4. Team information Team members and partners within the organization If you have members and partners within the organization please fill in the table below. Fill up to 5 members. 2 are mandatory. * #1 Member * First Name * Last Name * Position * Main role in the company Please select Business Development / Sales Client Relationships Finance/Accounting Investments Legal Marketing, PR, Brand, Corporate and Content Operations Strategy Technology / Data & Information / Software & App Development / R&D Other * Personal Phone Number * Personal Email LinkedIn profile (url) * Bio and experience * #2 Member * First Name * Last Name * Position * Main role in the company Please select Business Development / Sales Client Relationships Finance/Accounting Investments Legal Marketing, PR, Brand, Corporate and Content Operations Strategy Technology / Data & Information / Software & App Development / R&D Other * Personal Phone Number * Personal Email LinkedIn profile (url) * Bio and experience #3 Member First Name Last Name Position Main role in the company Please select Business Development / Sales Client Relationships Finance/Accounting Investments Legal Marketing, PR, Brand, Corporate and Content Operations Strategy Technology / Data & Information / Software & App Development / R&D Other Personal Phone Number Personal Email LinkedIn profile (url) * Bio and experience #4 Member First Name Last Name Position Main role in the company Please select Business Development / Sales Client Relationships Finance/Accounting Investments Legal Marketing, PR, Brand, Corporate and Content Operations Strategy Technology / Data & Information / Software & App Development / R&D Other Personal Phone Number Personal Email LinkedIn profile (url) * Bio and experience #5 Member First Name Last Name Position Main role in the company Please select Business Development / Sales Client Relationships Finance/Accounting Investments Legal Marketing, PR, Brand, Corporate and Content Operations Strategy Technology / Data & Information / Software & App Development / R&D Other Personal Phone Number Personal Email LinkedIn profile (url) * Bio and experience Add another team member * By submitting this form you confirm that you have read and agree to the Terms of Service and Privacy Policy. 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