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General Information
What is the name of your startup?
*
Venture Address
*
State/Province
*
Aceh
Sumatera Utara
Sumatera Barat
Riau
Kepulauan Riau
Jambi
Sumatera Selatan
Kepulauan Bangka Belitung
Bengkulu
Lampung
DKI Jakarta
Banten
Jawa Barat
Jawa Tengah
DI Yogyakarta
Jawa Timur
Bali
Nusa Tenggara Barat
Nusa Tenggara Timur
Kalimantan Barat
Kalimantan Tengah
Kalimantan Selatan
Kalimantan Timur
Kalimantan Utara
Sulawesi Utara
Gorontalo
Sulawesi Tengah
Sulawesi Barat
Sulawesi Selatan
Sulawesi Tenggara
Maluku
Maluku Utara
Papua Barat
Papua
City
*
ZIP/Postal Code
*
Email Address
*
Cellular/Mobile Phone
Office Phone
Do you have Legal Entity
*
No
Firma (Fa)
Commanditaire Vennotschap (CV)
Limited Company (PT)
Foundation
Do you have Legal Entity
Date Venture Founded
*
How long has your startup’s been operating??
Less than a year
1 – 3 years
More than 3 years
Industry
Business
Education
Energy & Natural Resources
Entertainment Industry
Environment
Finance, Insurance & Real Estate
Food & Beverage
Government Employee
Non-profits, Foundations & Philanthropists
Telecom Services & Equipment
Transportation
Venture Capital
Waste Management
Other
Industry
Describe your startup in just one sentence
*
Venture website URL (if you have one)
If you have an online demo, please also provide the URL
If you are human, leave this field blank.
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