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01 / 10
Startup and primary contact
Who is applying and how to reach you.
Leave blank if not yet incorporated.
Month and year.
02 / 10
Founding team
Name · role · full-time or part-time · LinkedIn. One row per person.
03 / 10 Scored separately
The healthcare problem
This is not a pitch. We are reading for the significance of the problem, how well you understand the people in it, and whether your approach is different for a reason.
Explain it simply. A reader outside your field should understand what it does.
Patient, clinician, hospital, employer, insurer, government scheme. In healthcare these are usually different people. Name them.
Name the products, services or workarounds people use today, and say what they do well.
Field observation, data from a pilot, a policy shift, a failure you witnessed first-hand.
Price, what the payer compares it to, margin, recurring revenue, and the scale you believe is reachable in five years.
04 / 10 Scored separately
Stage and evidence
How far along you are and what evidence you have that it works and that people want it. Numbers, not adjectives.
Users, sites, patients served, revenue, retention, outcomes measured, letters of intent. Say what is very important that has not been validated yet.
Sensitivity, adherence, time saved, cost per case, outcome change; study design and n where you have it.
Consent, where data lives, who can access it, DPDP compliance. Do not include any patient-level data in this application.
05 / 10
How the team operates
Short, direct answers are fine.
Name each key person and what they own.
06 / 10
Capital and runway
Planning information only. Amounts are not assessed as a measure of ambition.
Equity, grants and convertible notes. Enter 0 if none.
07 / 10 Scored separately
What you hope to achieve through Vitalize
Where support is most needed, and what success looks like at the end of three months.
Pick up to 3.
One or two measurable outcomes.
08 / 10
Commitment and availability
Vitalize runs three months from 20 January 2027.
09 / 10
Documents, links and video
Attach what you already have. Nothing here needs to be made for this application.
PDF up to 15 MB, or a link.
No file chosen
A pilot report, study protocol, outcomes summary or product documentation.
No file chosen
Show the product or pilot and say what you want to achieve through Vitalize. Production quality is not assessed.
No file chosen
Website, LinkedIn, app store, publications, press.
10 / 10
Final confirmations
Review
Review and submit
Some sections still need answers. Open a section to finish it.
01Startup and primary contactnot started
02Founding teamnot started
03The healthcare problemnot started
04Stage and evidencenot started
05How the team operatesnot started
06Capital and runwaynot started
07What you hope to achieve through Vitalizenot started
08Commitment and availabilitynot started
09Documents, links and videonot started
10Final confirmationsnot started
When every section is complete, Save and submit locks your answers, downloads your application file, and opens an email to
connect.blr@bits-pilani.ac.in with the subject Vitalize application — [startup name]. Attach the downloaded file plus your deck, test report and video.Submit is enabled once all sections show "complete".
01 Startup and primary contact
Startup name
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Focus area
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Type of legal entity
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Company registration number (CIN / LLPIN)
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DPIIT Startup India recognised?
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Date operations began
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City where the team is based
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Website
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Primary contact — full name
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Primary contact — role
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Primary contact — email
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Primary contact — mobile
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02 Founding team
Founders and key team members
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BITS Pilani alumnus/alumna founder — name, campus, roll number
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Total team size today (incl. founders, employees, interns)
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03 The healthcare problem
The product or pilot. What have you built?
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Who uses it, who pays for it, and who decides?
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What differentiates your approach, and what are the existing alternatives?
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The insight. What have you seen, measured or learned that gives you conviction?
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The business. How does this become a meaningful and sustainable company?
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04 Stage and evidence
Current stage
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What exists today?
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Traction and validation to date
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Evidence that it works. What have you measured, against what baseline, and in what setting?
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Ethics and data
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How is patient or user health data handled?
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Regulatory pathway that applies
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05 How the team operates
Team roles and responsibilities. Who does what?
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Team qualifications. What are the key members' qualifications and relevant experience?
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06 Capital and runway
Total external funding raised to date (INR)
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Sources
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Runway at current burn (months)
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Amount you intend to raise in the next 12 months (INR)
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07 What you hope to achieve through Vitalize
Where is support most needed?
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Support sought. What specifically would you draw on from coaches, the network and partners?
Not answered
What does success look like at the end of month 3?
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Which introductions would make the biggest difference, and why?
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08 Commitment and availability
Can the founding team commit to the full three-month programme from 20 January?
Not answered
Presence in Bengaluru during the cohort
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How many founders are full-time on the startup?
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Any constraints we should know about: other programmes, travel, academic or clinical commitments
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Are you currently in, committed to, or awaiting a decision from another incubator, accelerator or grant programme?
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09 Documents, links and video
Pitch deck or startup overview
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Evidence document
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Video of up to 90 seconds
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Public links
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10 Final confirmations
We understand Vitalize is a 3-month health cohort for startups with an early product or active pilot, and at least one of our founders is a BITS Pilani alumnus/alumna with a meaningful equity stake.
Not answered
The information in this application is accurate and was written by the founding team.
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We have not included any patient-level or personally identifiable health data in this application.
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We understand that all intellectual property created by the startup remains with the startup.
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We consent to our application being read by the Vitalize selection committee, coaches and programme partners for selection and programme administration.
Not answered