Maharashtra Health Impact ForumRegistration

Registration

Choose your track and complete the form. Participation is confirmed after review.

Attend the forumDelegates, students, investors, incubators, accelerators and startups Startup PitchPitch before an expert panel in one of three themes Innovation StallDemonstrate your innovation at a curated stall

01 I am registering as

Participant category *

02 Your details

Your name will be printed on your badge exactly as entered here.

Full name *In English, as on your government ID.

Designation *

Organisation *

Organisation type *

Email *

Mobile number *

+91

Used for OTP login to check status and download your badge.

City *

State *

03 Your interest

Themes you are most interested in *

MedTech Climate-Health Maternal Health

What do you hope to take away from the forum? *Two or three sentences. This helps the organising team review your registration.

04 Day 2 field trip, Alibag

On 14 November delegates travel to Alibag to observe last-mile healthcare delivery. Seats are limited and confirmed separately.

Meeting point: Gateway of India, Mumbai, at 9:30 AM*
* More details on timing and the precise location will be shared with selected members closer to the date.

Would you like to join the Day 2 field trip? *

Yes, register me for Day 2 No, Day 1 only

05 Declarations

I confirm that the information provided is true and accurate. Aadhaar declaration. I understand that if I am selected to be part of the workshop, I will be required to log in to this portal with my mobile number and OTP and update my Aadhaar details for identity verification and venue access, before my badge is issued. I consent to the organisers processing my personal data for the purpose of managing my participation in the forum.

You will receive a reference number on the next screen.

01 Who can apply

The Startup Pitch is open to startups that meet all of the following.

Our startup meets all of the criteria above.

02 Startup and authorised representative

Startup name *

Website

Authorised representative *A person able to commit the company, who will pitch. In English, as on your government ID.

Designation *

Email *

Mobile number *

+91

Used for OTP login to check your application status.

City *

State / region *

Team size *

03 Registration, regulatory and certificates

Place of registration does not matter.

Legal entity *

Year of incorporation

Recognised by DPIIT (Startup India)? *

Yes Applied No

What kind of product is it? *

Medical device Digital product Device with a digital component Service or care model

Regulatory and compliance details

Upload certificates Any combination: incorporation, DPIIT recognition, regulatory approvals, ISO, data-protection. PDF, JPG or PNG, up to 5 MB each.

04 Your solution

Primary pitch theme *

MedTech Climate-Health Maternal Health

Select one primary theme; the panel confirms placement.

Solution / product name *

Current stage *

Live customers or deployments *

Name one current customer or deployment *

Currency for the figures below *

Indian rupees (₹) US dollars ($)

Revenue in previous financial year (FY 2025–26) (₹) *Enter 0 if none.

Projected revenue for current financial year (FY 2026–27) (₹) *

Total funds raised to date (₹) *Include total external funding received to date, such as equity investments and grants. Enter 0 if none.

One-line description *

What problem does it address? *

How does the solution work? *

Who is the intended user? *

Where does it fit in the care pathway? *

05 Validation, evidence and team

Your validation question *What do you most need to learn about your solution in real community settings, with clinicians and researchers?

If you receive the award, what study would you run with up to 50 users? *Describe the question, who would take part and what you would measure.

Evidence and traction *

Team strength *

Link to pitch deck or product videoA view-only link (Drive, Dropbox, YouTube). Optional but recommended.

06 Declarations

I confirm that the information and certificates provided are true and accurate, and that I am an authorised representative able to commit the company. The solution described is our own work and its presentation will not infringe the rights of any third party. I accept that the decision of the evaluation panel is final. Aadhaar declaration. I understand that if I am selected to be part of the workshop, I will be required to log in to this portal with my mobile number and OTP and update my Aadhaar details for identity verification and venue access, before my badge is issued. I consent to the organisers and evaluators processing the information and certificates in this application for the purpose of the Startup Pitch and the forum.

You will receive a reference number on the next screen.