Name :

Email :

Mobile :

Website:

Gender :

Select Male Female Other

City :

State :

Select Andaman and Nicobar Islands Andhra Pradesh Arunachal Pradesh Assam Bihar Chandigarh Chhattisgarh Dadra and Nagar Haveli Daman and Diu Delhi Goa Gujarat Haryana Himachal Pradesh Jammu and Kashmir Jharkhand Karnataka Kerala Lakshadweep Madhya Pradesh Maharashtra Manipur Meghalaya Mizoram Nagaland Odisha Puducherry Punjab Rajasthan Sikkim Tamil Nadu Telengana Tripura Uttar Pradesh Uttarakhand West Bengal

Plant/company name :

Designation :

Is your company of Indian origin registered in Indian ROC? :

Select Yes No

What do you manufacture?

Year/ Date of Inception :

• Choose the category of Award you wish to apply for :

Award for IT Adoption & Innovation

Award for Social Impact

Award for the Young Entrepreneur of the Year

Woman Entrepreneur of the Year

 

• What is your annual turnover?

Less than 1 Crore

Between 1 Crore- 5 Crores

Between 5 Crores - 25 Crores

More than 25 Crores