Cohort Onboarding

Which Programme are you participating in?(Required)

Venture Builder Berlin

Venture Builder Cambridge

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Email(Required)

Supporting Documents

Passport MRZ Number(Required)

Please enter the Password MRZ reference from your passport as demonstrated in the image below.

Please upload a picture of your passport (the part with your photograph) and proof of address (e.g., gas bill, telephone bill, bank statement, etc.)(Required)

Drop files here or

Accepted file types: pdf, Max. file size: 50 MB, Max. files: 2.

Emergency Contact

What is the name of your emergency contact?(Required)

What is your relationship with the contact?(Required)

Please provide the contact's phone number (including international dialling code):(Required)

Please provide your contact's email address:(Required)

Health & Safety

This section asks you to provide details of any allergies we need to know about and any disability that requires us to make special arrangements for you. Please be reassured that this information will be kept confidential and only used if necessary, should you become ill whilst you are on the programme/attending the in-person events.

Do you have any allergies? (please answer 'No' if you don't have any)(Required)

Do you have any disabilities or access requirements? (please answer 'No' if you don't have any)(Required)

Is there anything else which you feel the Carbon13 team needs to know?

Additional Questions

Do you currently have an incorporated company?(Required)

Yes

Are you currently enrolled in a PhD programme?(Required)

Yes

Comments

This field is for validation purposes and should be left unchanged.