Legend Innovators

I. Company Information :

Company Name *

Legal Structure *

Date of Incorporation *

Website *

Primary Contact Person *

Phone Number *

Email Address *

Address *

Brief Company Description *

II. Company Specialization & Services :

Describe your company's core specialization *

List your key services *

Target Market *

III. Team & Experience :

Number of Employees *

Years in Operation *

Briefly describe your team's key experience and qualifications *

IV. Financial Information :

Annual Revenue (Last Year) *

Annual Revenue (Projection for Next Year) *

V. Payment of Processing Fee :

Processing Fee (INR 950 + applicable GST) *

VI. Marketing & Promotion :

How will your membership with LICON benefit your business? *

Existing Marketing Materials (Optional)

VII. Agreement & Declaration :

I have read and agree to the LICON Terms and Conditions.

I understand that my application is subject to review and approval by Legend Innovators. Approval does not guarantee business opportunities from Legend Innovators.

Member Registration