Name *

Email ID *

Mobile No *

Mentor's Name *

Programme *
---MBABBABCCAMCM

Graduation Stream
---ScienceArtsCommerceManagementPharmacyEngineeringLawOthers

Are you currently working on any business idea ? *
---YesNo

Do you have any work experience ? *
---Yes- 0-3 YearsYes- 4-7 YearsYes- 7 Years AboveNo

Do you have any current business ? *
---Yes - Own FirmYes - Family BusinessYes - PartnershipNo

What in your opinion are your strengths which you will use in contributing to eleap ?*

Reasons for joining eleap ? *

Current city of residence ? *