UNITED ARAB EMIRATES CHAPTER | Page 2 | BRICS Women's Business Alliance

ELIGIBILITY SCREENING

0.1 Leadership Role

I am applying as a woman in a key leadership role (Founder/CEO/equivalent) and I am actively involved in the enterprise's strategy and operations.

Yes No

SECTION 1: APPLICANT DETAILS

1.1 Full Name *

1.2 Designation

1.3 Email ID *

1.4 Mobile Number

1.5 Country of Citizenship

1.6 Country of Primary Residence

1.7 Brief About the Founder & Co-founders

Please provide a concise profile (maximum 100 words) highlighting the background, expertise, and key achievements of the Founder and Co-founders.

Upload photographs:

Kindly upload clear, high-resolution photographs of each Founder and Co-founder.

SECTION 2: ENTERPRISE INFORMATION

2.1 Name of the Enterprise *

2.2 Website

2.3 Year of Establishment

2.4 Legal Status

2.5 Business Stage

2.6 Primary Sector

2.7 Women Leadership Evidence

> 50% stake < 50% stake

SECTION 3: PROBLEM STATEMENT

3.1 Primary Problem Addressed by Your Enterprise

3.2 Target Beneficiaries / Customers

Consumers (B2C) MSMEs Large Enterprises Farmers Artisans / Weavers Women-led businesses Government / Public Sector Other

3.3 Geography of the Problem

3.4 Brief Description of the Problem with Justification

Max 100 words

SECTION 4: SOLUTION & INNOVATION

4.1 Type of Solution

4.2 Brief Description of the Solution

Max 90 words

4.3 Key Value Proposition of the Solution

Max 50 words

4.4 What's USP of your product / service

Max 50 words

4.5 Are there any competitors for your business?

Yes No

SECTION 5: TECHNOLOGY READINESS & CAPABILITY

5.1 Stage of Deployment

SECTION 6: COMMERCIAL VIABILITY & TRACTION

6.1 Revenue Stream

Subscription Transaction fees Licensing Direct sales Freemium Services / consulting Marketplace commission Other

6.2 Annual Turnover (Last FY)

6.3 Number of Employees

6.4 Percentage of Women Employees

6.5 Investment Raised to Date

SECTION 7: IMPACT & SUSTAINABILITY

7.1 Top 3 Impact Metrics

7.2 Environmental and/or Social Impact (ESG alignment)

Max 50 words

7.3 Contribution to Decarbonization, Efficiency, Circularity, etc.

Max 50 words

7.4 Measurable Outcomes

Max 100 words

SECTION 8: BRICS ALIGNMENT & SCALABILITY

8.1 Which BRICS Markets Are You Targeting Next and Why?

Max 50 words

8.2 Why are you keen on entering this country?

Max 50 words

8.3 What do you need to scale?

Capital Distribution partners Government partnerships Regulatory approvals Manufacturing capacity Talent Technology infrastructure Other

8.4 Timeline to Scale

SECTION 9: PARTNERSHIPS & NETWORKS

9.1 Do you have cross-border collaboration experience?

Yes No

9.2 Describe one example of any prior international pilots, exports, or partnerships

SECTION 10: PROCESSES, IP & OPERATIONAL READINESS

10.1 IP Status

SECTION 11: PRESENTATION & SUPPORTING MATERIAL

11.1 Upload your pitch deck

PDF format only | Max file size: 10 MB

SECTION 12: RECOGNITION & DECLARATION

12.1 Is your startup recognized by any Government authority?

Yes No

12.2 Previous Awards / Recognition

Please share the details. Uploading of certificate option should be there

Upload certificates:

12.3 Please justify why you should get this award

Max 75 words

DECLARATION

I confirm that the information provided is true and accurate, and I understand that supporting documents may be requested.

Yes No

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BRICS WOMEN'S STARTUP CONTEST 2026

QUESTIONNAIRE

ELIGIBILITY SCREENING

SECTION 1: APPLICANT DETAILS

SECTION 2: ENTERPRISE INFORMATION

SECTION 3: PROBLEM STATEMENT

SECTION 4: SOLUTION & INNOVATION

SECTION 5: TECHNOLOGY READINESS & CAPABILITY

SECTION 6: COMMERCIAL VIABILITY & TRACTION

SECTION 7: IMPACT & SUSTAINABILITY

SECTION 8: BRICS ALIGNMENT & SCALABILITY

SECTION 9: PARTNERSHIPS & NETWORKS

SECTION 10: PROCESSES, IP & OPERATIONAL READINESS

SECTION 11: PRESENTATION & SUPPORTING MATERIAL

SECTION 12: RECOGNITION & DECLARATION

DECLARATION

Thank you for your application!