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Type Of Registration*
Personal Details
Name*
First Last
Designation*
Email*
Phone Number
Mobile Number*

Company Details
Name of the Entity
Industry / Category
Date of Incorporation*
Date Format: DD slash MM slash YYYY
Nature Of Business
Head Office Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company Phone Number
Company Email
Company Website
Company Logo
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Names of the promoters/directors/partners/Proprietors
Profile of the Entrepreneurs/Promoters
Production/Services details
Future plans in 50 words
Brief details of present operation in 50 words
Requirements if any like finance/markting tie up/technology tie up /Finance
Any specific help required from OCF
Any other relevant information you wish to furnish.

Statutory Details
Registration / Affiliation
- Startup Odisha
- Startup India
- MSME
- DIPP
- Others
Startup Odisha
Startup India
MSME
DIPP
Others
Registered with Company Act ( MCA )
- Yes
- No
CIN Number
GSTN
Company PAN
Company TAN
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Only PDF and JPG files are accepted

Turnover last 3 years
Total Capital Invested
Loan Capital Invested
Own Capital Invested
Total Employment
Direct Employment
Indirect Employment
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Willing to be contacted in Whatsapp/Email
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