ASCENT Member Application Form

ASCENT Member Application Form

1

2

3

4

5

6

Welcome to ASCENT
Full Name *
N/A
Email *
N/A
Contact Number *
N/A
How did you hear about us? *
N/A

About You
Date of Birth *
N/A

dd-MMM-yyyy
Other entrepreneur forums that you are a part of? *
N/A
Current city of residence *
N/A
Others
N/A
Expectations from joining the ASCENT Community of like-minded entrepreneurs *
N/A
Others
N/A

About Your Organization
Name of the Organisation? *
N/A
GSTIN *
N/A
Title in the organisation *
N/A
Year of incorporation? *
N/A
Incorporated as? *
N/A
Nature of business *
N/A
Type of business *
N/A
Industry/Sector *
N/A
Others
N/A
Website Link *
N/A
Business Description *
N/A
Explain the Growth Ambition or Product/Process innovation done in the company *
N/A
Any other organisations that you are associated with? This will enable us to avoid conflict while identifying a Trust Group for you.
N/A
Top three current business gaps *
N/A
Number of employees *
N/A

Financial Details
Projected Annual Turnover of the organisation for the past three financial years (in INR crores)
-- No Fields Available --
- FY 2021-2022
- FY 2022-2023
- FY 2023-2024
Add Entry Add Entry
- FY 2021-2022 *
  N/A
- FY 2022-2023 *
  N/A
- FY 2023-2024 *
  N/A
- FY 2021-2022 *
  N/A
- FY 2022-2023 *
  N/A
- FY 2023-2024 *
  N/A
Projected Annual Turnover for the next three financial years (in INR crores)
-- No Fields Available --
- FY 2024-2025
- FY 2025-2026
- FY 2026-2027
Add Entry Add Entry
- FY 2024-2025 *
  N/A
- FY 2025-2026 *
  N/A
- FY 2026-2027 *
  N/A
- FY 2024-2025 *
  N/A
- FY 2025-2026 *
  N/A
- FY 2026-2027 *
  N/A
Audited PAT (in INR crs) *
N/A
Attach any one of following documents *
N/A
ROC Filled Form
N/A
Upload file
Audited Balance Sheet
N/A
Upload file
P&L Statement
N/A
Upload file

Reference Check
Full Name *
N/A
Email
N/A
Mobile *
N/A
Nature of Connection *
N/A

Thank you for engaging with us. We at ASCENT are excited to facilitate your onboarding process. We process personal data that we collect directly from you to stay in touch with you and for other specific and limited purposes i.e. Evaluation of your Application, Trust Group Placement, and Curating Knowledge Sessions/Events.

Please note that any information shared by you shall be treated as confidential by ASCENT Foundation and we shall take all reasonable measures to maintain the confidentiality and security of all the Information shared by you. Further, your personal data will be only processed for specified and lawful purposes. We will only process personal data that is adequate, relevant, and limited to what is necessary. This also includes restricting access to personal data to only those functions/groups in ASCENT Foundation that need this personal data to carry out their work.

We will not hold your personal data for longer than is required for the original purpose it was collected unless those purposes are compatible with the original purpose.
N/A

Ready to Submit?
*
Ready to Submit?
Required

1/6

2/6

3/6

4/6

5/6

6/6

Error Occurred

You haven't verified your email yet, click here to receive a verification email.

This file format is not supported by your browser for preview.

That CAPTCHA was incorrect.

Your form has been deactivated. Contact support@zohoforms.com for further information.

An error occurred

Please contact your form administrator for further assistance.

Submitting...

Please Wait...

Saving...

Redirecting to Merchant Website..

Verifying Credit Card Details...

Please wait...

Loading payment widget...

Verification Code

Enter the text in the box below

Please wait

Verification mail sent.

Link to resume this form later:

Email Link to

Please enter a valid email address to configure Zoho Sign settings.

Copy Link Copied to clipboard.

Form Summary

This file format is not supported by your browser for preview.

Turn on the camera permission in your browser to continue further

Submission Not Allowed

You need to verify your email address to submit form