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Tell us your inspiring story and stand a chance to win exciting rewards!
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Fill Details
* Fields are mandatory.
1
Basic Information
2
Business Information
3
Digital Presence
4
About Your Business Growth
5
Snapshots
Personal Details
Name
*
First Name
Last Name
Your Age
*
The age limit is 18 and above.
Contact no. (Preferably WhatsApp number)
*
Email ID
*
Business information
Business name
*
Business sector
*
-- Choose the Business Sector * --
Automobile
Beauty
Construction And Allied Services
Designing
Education/Training Sector
Fashion
Food
Health Management
Household Related Activities
Photography And Allied Services
Event Management
Printing And Allied services
Repairs And Maintenance
Tours And Travels
Renewable Energy
Digital Marketing
Professional Services
Electrical Appliances - Sales & Services
Network Services
Delivery Services
Other
Marketing Services
Decorative items Manufacturing & Trading
Electronic items manufacturing /sale/rent
Manpower/Labour supply
Engineering job work manufacturing/trading
Not Defined
Import/Export
Fashion accessories
Home decor
Agri and allied
Other sector
*
Year of establishment
*
D
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25
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31
Month
1
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12
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
Start Year
Start Month
Type of Business entity
*
Please select appropriate option
Sole Proprietorship
Limited Liability Partnership(LLP)
Partnership Firm
Public/ Private limited Company
One Person Company (OPC)
Others
Other business entity type
*
Pincode of Business Location
*
Business Location District
*
Business Location State
*
No. of Employees in Business for F.Y. 2023-2024
*
No. of Employees in Business for F.Y. 2024-2025
*
No. of Employees in Business for F.Y. 2025-2026
*
What products or services does your business offer?
*
Please briefly describe your primary offering(s).
Which marketing channels do you use?
Digital channels
Facebook
WhatsApp
Instagram
E-commerce platforms
LinkedIn
Others
Offline channels
Newspaper
Brochures
Flyers
Multimedia (TV, Radio)
Others
Sales channels
B2B
B2C
Multimedia (TV, Radio)
Bulk Orders
Others
Other marketing channels (Please specify)
What is your unique selling proposition (USP)?
*
Who is your ideal customer?
*
How do you brand your products/ services?
*
How do you manage your operations and allied processes?
*
Where have you applied technology adaptation or digitization in your business?
*
Automated Invoicing
Automated Production Process
Automated Packaging Process
Automated Marketing Process
Automated Customer Engagement
CRM / Sales tracking
HR / Payroll tools
None of the above
Others (Please specify)
Which of the following licences have you obtained for your business?
*
Shop Act
FSSAI
Registered Partnership Deed
Company Registration
Udyam Registration
GST Registration
None of the above
Other Registrations
Others (Please specify )
*
Other Registrations (Please specify)
*
Digital presence
What social media are you present on?
*
Facebook
Instagram
LinkedIn
E-commerce platforms
WhatsApp
None of the Above
Social media page links
Facebook
*
Instagram
*
LinkedIn
*
E-commerce platforms
*
WhatsApp
*
About your business growth
What was your annual sales for FY 2023-2024?
*
Please select appropriate option
₹ 10 Lac to ₹ 25 Lac
₹ 25 Lac to ₹ 50 Lac
₹ 50 Lac to ₹ 75 Lac
₹ 75 Lac to ₹ 1 Cr
Above ₹ 1 Cr
Not Applicable
What was your annual sales for FY 2024-2025?
*
Please select appropriate option
₹ 10 Lac to ₹ 25 Lac
₹ 25 Lac to ₹ 50 Lac
₹ 50 Lac to ₹ 75 Lac
₹ 75 Lac to ₹ 1 Cr
Above ₹ 1 Cr
Not Applicable
What is your estimated annual sales for FY 2025-26 (Estimated)
*
Please select appropriate option
₹ 10 Lac to ₹ 25 Lac
₹ 25 Lac to ₹ 50 Lac
₹ 50 Lac to ₹ 75 Lac
₹ 75 Lac to ₹ 1 Cr
Above ₹ 1 Cr
Not Applicable
Is your business making profit?
*
Yes
No
What is your plan for business growth over the next 2 to 3 years?
*
How much funding would you require in the upcoming years to achieve business growth?
*
What are the top 2 indicators of growth in your business?
*
Have you expanded your business in the last 2 years?
New product/service
New market/location
Increased production capacity
Team expansion
None of the above
Others
Others please speficy
What challenges have you faced while growing your business?
*
What did you do to overcome these challenges?
*
Selected Service
Please share your establishment photos
Drop files here or
Accepted file types: jpg, jpeg, png.
Please upload photos here. Acceptable format - .jpeg, .jpg, .png (Maximum 2MB)
Please share your product photos
Drop files here or
Accepted file types: jpg, jpeg, png.
Please upload photos here. Acceptable format - .jpeg, .jpg, .png (Maximum 2MB)
Would you like to participte in deAsra's below mentioned initiatives:
(If yes, please select all that apply)
Early adopter programs
Research Intiatives
Declaration:
By filling in this form you indicate that you understand its purpose and consent to the use of the data. The data submitted by you will be stored or shared by deAsra Foundation in accordance with its Privacy Policy published at
https://www.deasra.in/privacy-policy/
.
You hereby declare that the information provided by you is true and accurate. If you are sharing any information on behalf of a third person, you should ensure that you are authorized to do so. While deAsra Foundation does not cross check the information, if any misrepresentation or inaccuracy is observed, it may lead to your immediate disqualification.
You agree to indemnify and hold deAsra Foundation harmless from and against any claims and demand, including reasonable attorneys' fees, made by any third party due to or arising out of or relating to: (i) accuracy and correctness of information and content that you submit or share through this application form and (ii) your violation of the Privacy Policy and applicable laws.
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