Chaanakya Capital
Chaanakya Capital
We fund pre-seed and seed stage impact startups in NeuroTech/MedTech.

Chaanakya Capital Neurotech Founder Intake Form

Instructions: Please fill out all required fields (marked with *). For text fields, adhere to maximum word limits.

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Please enter a valid email with a domain (e.g. .com).

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What is the name of your company?

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What is your company's website?

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This could be the primary location of your home office or the primary market your company serves.

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What is your primary role? (Select one from: CEO, CTO, CSO, Other)

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Describe your background in neurotech and list any examples where applicable. (150 words max)

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Describe your company in one informative sentence. (50 words max)

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What stage of development are you at? (Select one from: Ideation, Prototype, Pre-Clinical, Clinical Trials, Regulatory Approval, Commercial)

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Please provide a link to the company website or the most up-to-date pitch deck.

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What is the primary neurotech application? (Select one from: Diagnostics, Therapeutics, Brain-Computer Interfaces, Neurorehabilitation, Other)

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Describe the problem you are solving. (100 words max)

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Describe your proposed solution. (150 words max)

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Describe how your product sets itself apart. (100 words max)

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Describe the target market in detail. (50 words max)

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Describe the market size at each level. (50 words max)

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Describe your traction, including revenue and active users. (100 words max)

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What is your regulatory pathway? (Select one from: FDA 510(k), De Novo, PMA, CE Mark, Other, Not Started)

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Describe how your technology works. (150 words max)

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What is the status of your IP? (Select one from: Patents Filed, Patents Granted, Trade Secrets, None)

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Describe any clinical or technical validation, if applicable. (100 words max)

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How many founders are there?

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Describe the founders and important teammates. (150 words max)

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Describe your advisory board, if applicable. (100 words max)

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What funding stage are you at? (Select one from: Pre-Seed, Seed, Series A, Other)

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How much are you seeking?

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Describe how you plan on using the funds. (100 words max)

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Do you currently have any non-dilutive funding or are you applying for it? (ex. NSF-SBIR, NIH-SBIR or any other business grant) If so, please specify which type(s) of funding you have applied to and/or received.* (150 words max)

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If you answered “yes” to the previous question, please provide any supporting documentation, if applicable.

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What other support is needed? (Select as many as applicable from: Mentorship, Clinical Partnerships, Regulatory Guidance, Investor Introductions, Other)

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Describe why you specifically want our assistance. (150 words max)

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Please attach files, including any supporting publications for your technology, here. Please send the files to submissions@chaanakya.capital as well.

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How did you hear about us? (Select one from: Website, Referral, Event, Partner, Other)

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Please provide a link where we can learn more about you.

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If you agree to Chaanakya Capital's Terms and Conditions, please type "Yes".

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If you consent to the processing of your data as per GDPR/CCPA regulations, please type "Yes".

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