Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Company/Individual Information - Step 1 of 3 Company/Individual Information NameLayoutEmailMobile NoPhoneLayout (copy)OccupationDate of BirthLayout (copy) (copy)AgeGender MaleFemaleOtherAddressAddress Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Republic of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryProject name or Company NameLayoutWebsite / URLLinkedIn PageNext Please select your status:IndividualFounderCo-FounderPartnershipCompanyDoes the idea originate from an existing idea in the market?YesNoIs it a Product or a Service?ProductServiceWhich industry does the idea cater to? (Please select all that apply) *AgricultureEducationFinanceHealthcareInformation TechnologyManufacturingMarketing/ AdvertisingRetailServiceOther (please specify):Please specify below:Please explain briefly: What are the unique features and benefits of the idea?How it stands out or differ from existing products or services in the market?How can the product or service be used?Purpose of the idea:ProfitNon-ProfitSocial EnterpriseOthers (please specify)Specify BelowHave you participated in events or shows related to the idea?YesNoIf yes, please provide the following details. Event Name:DateResultLayoutWhat is the current stage of the idea?Concept StagePrototypePre-Launch StageLaunch StageWhat services do you require from us? (Please select all that apply)Idea EvaluationIdea FormalizationIdea DevelopmentCollaborationBusiness ConsultingTech ServicesOther (please specify):Specify belowAdditional comments Add Media Visual Text Any relevant information or insights you would like to provide:DISCLAIMER: I acknowledge and agree that PUSULA INTERNATIONAL PVT LTD, an AI and technology ecosystem, will not be held responsible or liable for any incurred loss or damages incurred as a result of any misinformation provided by me to the best of my knowledge and accuracy provided in his form. By submitting this form, I confirm that I have read and understood the privacy policy and Disclaimer of Pusula International Pvt Ltd. I acknowledge that the idea evaluation process involves subjective assessment and does not guarantee success. I consent to the collection, use, and processing of my personal and company’s information for idea evaluation and providing personalized products and services utilizing artificial intelligence (AI) and other technologies as described in the Privacy Policy” PreviousNextDid anyone refer you to Pusula International Pvt Ltd?YesNoIf yes, please provide the following details Referral InformationName *PhoneEmail *Other (please specify)PreviousSubmit