Osun State Tech Startup

Contact Person Details

Name *

Phone Number *

WhastApp Number(If Any)

Email *

Home Address *

State *

Local Government *

Town *

Resident Address *

State *

Local Government *

Town *

Name of Cofounder(s)

Startup Details

Name of Startup/Comapny

Sector

Elevator Pitch

Brief Discription of Your Startup

How many years have you been operating

Local Government Area

Are you registered with CAC

CAC Registration Number

Did you work from an innovation hub

If Yes, what's the name of the hub

What Stage is your Startup *

Have you raised funds before

If Yes, what stage of funding is your startup *

How are you measuring progress(What is your vanity metric)

What is this metric currently?

Any other details you'll like us to note

I hereby declare that all the information provided by me in this form is accurate, complete and true to the best of my knowledge.
I understand that the information I submit will be used for the purpose outlined in this consent form aand may be subject to verification.

Registration Form

Contact Person Details

Startup Details