A

Organisation Details

A.1. Name of Organisation/Startup *

A.2. Contact Person *

A.3. Phone Number *

A.4. Email Address *

A.5. Organisation/Startup Website *

A.6. LinkedIn *

Instagram

Any other Relevant Page

B

Solution Details

C.1. Title of the Solution *

C.2. Brief Overview of the Solution * (Maximum 100 words)

C.3. Technology/Innovation Used in the Solution *

C.4. Geographies where the solution has been implemented *

C.5. Number of beneficiaries/users reached *

C.6. Key impact/outcomes demonstrated by the solution *

D

Implementation References

Please provide references where the solution has been implemented.

D.1. Reference 1

Name *

Organisation *

Designation *

Email *

Phone Number *

D.2. Reference 2

Name *

Organisation *

Designation *

Email *

Phone Number *

E

Supporting Information

E.1. Presentation about the Solution/Organisation * (10–12 slides, PDF or ZIP, max 5 MB)

— or —

F

Consent

F.1. If selected, do you consent to CSRBOX/OPIF promoting and showcasing your organisation/startup and solution through its communication and promotional platforms?

Yes No

G

Source of Application

G.1. How did you find out about the PurposeTech for Bharat 2026?

I

Supporting Documents

I.1. Registration Certificate *

Proof of registration of your organisation/startup (Certificate of Incorporation, Trust/Society Registration Certificate, Partnership Deed, or equivalent).

— or —

I.2. Financial Statements *

Latest 2 years audited or provisional financial statements reflecting annual revenue. Nonprofits may submit financial statements reflecting annual funding/grants received.

— or —

Purpose Tech Application Form

Organisation Details

Category

Solution Details

Implementation References

Supporting Information

Consent

Source of Application

Supporting Documents