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[Cohort-8]Regenearth Application form

Thank you for your interest in the Regenearth Program offered by the Industree Foundation, Bangalore.

Name of your Organisation

*

Website

*

Your Name and Designation

*

Email Address

*

Phone Number

*

City

*

Country

*

Type of Organization

Untitled multiple choice field

A

Producer Company

*

B

NGO

C

Private Limited

D

Partnership

E

Proprietorship

F

Trust

G

Society

H

Section 8

I

Unregistered

J

Others

Current Activities

Untitled multiple choice field

A

Design Development

*

B

Access To Market

C

Mobilisation

D

Supply Chain Support

E

Branding

F

Training & Development

G

Others

Organisation Operational years

Untitled multiple choice field

A

Less than 1 year

*

B

1-3 years

C

3-5yrs

D

6-10yrs

E

Above10yrs

Value Chain Focus

Untitled multiple choice field

A

Handloom, Fashion

*

B

Bamboo

C

Leather

D

Embroidery

E

Wood

F

Metal

G

Stone

H

Cotton

I

Silk

J

Value added Food

K

Farm

L

Natural fibers

M

Recycle Material

N

Paper

O

Others

Turnover last year (INR)

1 Lakhs INR = 100,000 INR

Untitled multiple choice field

A

< 10 Lakhs

B

< 50 Lakhs

C

Above 50 Lakhs

Turnover last year (USD)

If your organisation is based out of India then please fill this part

Untitled multiple choice field

A

< 1 million

B

< 5 Million

C

Above 5 Million