Mentor Empanelment

Join our esteemed panel of mentors and shape the future of innovation.

Section 1: Personal Information

Full Name

Upload Profile Photo

Gender

Male Female Other

Date of Birth

Contact Number

Email ID

LinkedIn Profile

Section 2: Professional Information

Current Designation

Organization / Institution

Office Address

Years of Professional Experience

Section 3: Areas of Expertise

Select one or more areas of expertise.

Others (please specify)

Section 4: Mentorship Preferences

Preferred Mode of Mentorship

In-person Virtual Both

Availability

Weekly Monthly On Request

Preferred Engagement Type

One-to-One Mentorship

Group Mentorship / Workshops

Startup Evaluation / Jury

Networking & Connects

Section 5: Preferred Startup Stages

Ideation Stage (Early idea validation, problem–solution fit)

Prototype / PoC Stage (Product development)

Early-Stage Startup (Initial customers, go-to-market)

Growth Stage (Scaling operations, business expansion)

Mature Stage (Diversification, investor relations)

Section 6: Contribution & Interest

Why do you wish to join the Mentor Panel?

Section 7: Declarations

I hereby apply for empanelment as a Mentor with BIC@PU.

I agree to offer guidance voluntarily in my domain of expertise.

I consent to my details being shared with startups and incubatees for mentorship purposes.

Date

Digital Signature (Type Full Name)

Back to Portal