All fields are Mandatory. Please fill the form below carefully for successful submission.

Have any questions or trouble filling the form? Write to us at wspqueries@iimb.ac.in

First Name*

Last Name*

Mobile number *

Email ID*

State*

City of Residence*

Terms & Conditions

1. Please note: This is not the application form of Women Startup Program.
2. Aspiring applicants who fill this form will be notified once the date for the upcoming cohorts is released.
3. Filling this form does not grant you admission into the Program.