9th CavinKare-MMA Chinnikrishnan Innovation Awards - 2020“Innovations”

Nomination/Self Nomination

Name of the Company / Firm:

Mobile No.: Landline No.:

E-mail:

Name of the Nominee:

Nature of Organization: State Whether

Nature of Business:

Private Limited Company Partnership Other

Name of Authorized Representative of Nominee:

Registered Address:

Communication Address (if different from Registered Address):

2020

(Please attach a copy of PAN Card and any one of these as Identity / Address proof: Aadhaar Card / Voter ID)

* If in case of partnership / co-ownership, please specify names of all individuals

Designation:

Mobile No.:

Landline No.:

E-mail:

Date: Signature of Nominee

Nomination Deadline : Friday, 10 July 2020

* Use separate sheet if necessary

D D M M Y Y Y Y

Nominated by:

Representing:

* A Brief note in 300 words - How your Business is innovative/different:

Turnover of the Business (in Rupees) for the previous three years:(Attach latest copy of IT receipt)

Year of starting of the Business: