12 th Indo-American Corporate Excellence Awards, th July 2016 Regal Room, Hotel Trident, Nariman Point, Mumbai, India Nomination Form June 23, 2016

PwC Important Instructions ●Form should be filled in English Only. ●The Font type & size to be used - Georgia 11 (Line Spacing-1.0) ●Incomplete forms may be disqualified. ●Restrict to the space allocated in each section on each slide. Please articulate in the space provided. Any additional slides added will not be considered. ●A participating organization may choose to nominate themselves in more than one award category. However, a participant may not nominate themselves for excellence in manufacturing and excellence in services for the same project/initiative. ●Reference to Supporting documents must be provided against the respective section in the space provided. If a supporting relevant to a particular section is provided then reference box should be ticked. Supporting documents should be named as follows i.e. Company Name and Section Number. (e.g. for IACC Section 2 Question 1 will be IACC_Sec2_Q1) ●The financial information present in this Nomination Form will be confidential and only for the purpose of this Award ●The above must be followed to ensure consistency of format between all participants. Deviations may lead to disqualification of the participant. ●Please refer to Rules & Regulations document additional guidelines on IACC website ●Sections 1 and 2 are mandatory for ALL nominees. Sections 3 to 7 are mandatory for those who have nominated themselves for “Excellence in Manufacturing” or “Excellence in Services”; and Sections 8 to 11 are to be completed basis the chosen award category / categories Guidelines for: i) Completing the nomination form 2 May th Indo-American Corporate Excellence Awards, 2016

PwC Important Instructions ●The nomination form must be submitted in PDF file format. ●The nomination form will be considered final, accurate and best to the knowledge of the respondent. ●Participant may provide relevant documents / brochures / layouts / photographs which might assist the Jury in their evaluation but the total file size of all supporting documents accompanying one nomination form must not exceed 3 MB. ●The nomination form must be signed by a Authorized Representative of the Company along with a Company seal. ●The completed and signed nomination form must be submitted before 5 p.m. on June 23, 2016 to IACC : ●If you have any questions about the nomination form, please contact us at ii) Submitting the nomination form 3 May th Indo-American Corporate Excellence Awards, 2016

PwC Important Instructions (Cont’d) ●Companies participating under the category for INDIAN COMPANIES must have operated in the US for a minimum of two years and must be either a subsidiary or be managed and controlled by an India registered Company as on March 31, 2016 ●Companies participating under the category for US COMPANIES must have operated in India for a minimum of two years and must be either a subsidiary or be managed and controlled by an United States of America (USA) registered Company as on March 31, 2016 ●Indian organization participating in the Awards(except “Start-up of the Year) must have at least 2 years of registered presence and operations in the United States & US organizations operating in India must have at least 2 years of registered presence and operations in India as on March 31, ●Participants nominating themselves in “Start-up of the Year” must have registered between April 1, 2010 and March 31, 2015 and must have presence in India/US between April 1, 2010 to present. ●To apply in the SME Category, the organization should have an investment in plant and machinery (excluding land and building) of above Rs. 10 Lakhs / $ 25,000 but not exceeding Rs. 10 Crores / $ 2.5 million. ●All companies participating must be currently operating both in India/US. ●The final eligibility of the Participant will be subject to the discretion and approval of the Awards Management/Jury ●Previous edition award winners can apply only if the initiative is different from the ones submitted in the previous editions Eligibility Criteria: Declaration: ●It is mandatory to attach signature of authorized personnel from your Organization and Company Seal on the last slide of this presentation. 4 May th Indo-American Corporate Excellence Awards, 2016

PwC All Categories(Mandatory for all) 5 May th Indo-American Corporate Excellence Awards, 2016

PwC Section 1: Selection of Category Sr. Please tick or write ‘Yes’ against the Category / Categories for which you are applying: Award Category Indian Company in US US Company in India 1Excellence in Manufacturing 2Excellence in Services 3Green office space of the year 4Excellence in CSR 5Excellence in Innovation 6Start-up of the Year Please tick (√) the industry sector in which your business operates (Tick the appropriate sectors) Financial Services FMCG Pharma & Life Sciences Hospitality, Travel & Tourism Technology & Communications SME* Agricultural & related activities Others (Please specify) * To apply in the SME Category, the organization should have an investment in plant and machinery (excluding land and building) of above Rs. 10 Lakhs / $ 25,000 but not exceeding Rs. 10 Crores / $ 2.5 million 6 May th Indo-American Corporate Excellence Awards, 2016

PwC Section 2: Company Information (Cont’d) Registered Name Year of Establishment Company Representative : Designation : ID : Mobile Number :Landline Number : Company registered address : Company Website : Geographic Presence In India Number of Offices : Major Cities : Geographic Presence In USA Number of Offices : Major Cities : Number of years Company operating In India :In USA : 7 May th Indo-American Corporate Excellence Awards, 2016

PwC Section 2: Company Information(Cont’d) Number of Employees : Net Annual Revenue (In USD)*(Mention A/B/C/D) : Annual Sales Growth (in %) : Annual Growth in Net Profit before taxes (in %) : Net Contribution made towards Indo-US Trade (% of Revenue) : Investments in Training and Learning (% of Revenue) : Investment in plant and machinery (excluding land and building) **Applicable for SME Companies only : A$0-$100 million B$100-$500 million C$500 to $2 billion DAbove $2 billion *Revenue (In USD) 8 May th Indo-American Corporate Excellence Awards, 2016

PwC Section 2: Company Information Q1) Briefly describe about the Company’s business activities (Products/Services)/involvement in key business segments. (Also mention if any patents filed for product/service) 9 May th Indo-American Corporate Excellence Awards, 2016

PwC Section 2: Company Information (Cont’d) Q2) Briefly describe about the Company’s history and of its establishment in US and India Market 10 May th Indo-American Corporate Excellence Awards, 2016

PwC Excellence in Manufacturing Industry – sections 3 to 7 ( Mandatory if applying for Industry Category) Excellence in Services 11 May th Indo-American Corporate Excellence Awards, 2016

PwC Section 3: Company Excellence Q2) Describe the challenges faced by your organization while implementing the initiative(s) and explain the strategies implemented to overcome them successfully. ChallengesInitiatives Q1) Describe key challenges/obstacles faced in launching and building the Company and initiatives taken to overcome. 12 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 3: Company Excellence (Cont’d) Q2) Describe the challenges faced by your organization while implementing the initiative(s) and explain the strategies implemented to overcome them successfully. Key Discoveries/Unique Industry PracticesImpact Q2) Describe any key discoveries made/ any unique practices followed by the Company which can be replicated across industries and its impact on organization, industry, customers and other stakeholders. 13 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 4: Promotion of Indo-US Trade Q2) Describe any innovative solutions and initiatives taken to promote Indo US Trade and their impact on key stake holders like organization, industry, customers and others applicable. Key Opportunities Assessment Strategies Q1) Describe the key opportunities identified by your Company which led the Company to enter into USA/Indian market and the assessment strategies used to identify such opportunities. 14 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 4: Promotion of Indo-US Trade (Cont’d) InitiativesImpact Q2) Describe any innovative solutions and initiatives taken to promote Indo US Trade and their impact on key stake holders like organization, industry, customers and others applicable. 15 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 5: Human Capital Management Q1) Describe any innovate human capital policies followed in the organization that helped create a friendly/flexible work environment for all employees. 16 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 6: Market Impact (Applicable for US Companies) InitiativesImpact Q1) Describe initiatives taken to enhance economic/ social/cultural well being of communities and its impact (qualitative and quantitative) 17 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 6: Market Impact (Applicable for Indian Companies) Q2) Describe initiatives taken to promote ‘Brand India’ and creation of employment opportunities. 18 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 7: Corporate Governance Q1) Describe the measures taken to advance governance and compliance activities and their integration with business activities 19 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC General Categories – sections 8 to 11 (Mandatory for those who are participating in one or more of the following categories ) Section 8: Green Office Space of the Year Section 9: Excellence in CSR Section 10: Excellence in Innovation Section 11: Start-up of the Year 20 May th Indo-American Corporate Excellence Awards, 2016

PwC Section 8: Green Office Space of the Year Eco-Friendly AspectsImpact Q1) Describe the innovative Green/Eco-Friendly aspect(s) adopted in your nominated project (For e.g.: Innovative design, energy efficiency, conversation of water, etc.) and its impact or estimated impact in terms of quantitative and qualitative factors on the community or environment or both. 21 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 8: Green Office Space of the Year (Cont’d) Q2) Describe the challenges faced by your organization while implementing the initiative(s) and explain the strategies implemented to overcome them successfully. 22 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 9: Excellence in CSR CSR InitiativesImpact Q1) Describe unique aspects of CSR Initiatives undertaken in the last xx years by the organization and its impact on the community. 23 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 9: Excellence in CSR (Cont’d) Q2) Describe your vision behind developing the initiative and how will it be beneficial for the organization in the long run? 24 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 10: Excellence in Innovation Q1) Briefly describe about the innovative aspects of the product/service and demonstrate the long-term strategic vision implemented with regard to building and financing sustainable business growth of the initiative / project in future. 25 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 10: Excellence in Innovation (Cont’d) Q2) Describe the challenges faced and initiatives taken to achieve successful implementation of innovation. 26 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 11: Start-up of the Year Q1) Briefly tell us the objective, vision and mission of your Start-up and what prompted/triggered to start the organization. 27 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Section 11: Start-up of the Year (Cont’d) Q2) Describe the gaps which were addressed by your start-up and challenges faced in addressing them. 28 May th Indo-American Corporate Excellence Awards, 2016 Reference (Please tick, if applicable)

PwC Declaration Name :Designation : hereby represent that all the information contained in the foregoing Application is true and accurate to the best of my knowledge. I understand that the Indo-American Chamber of Commerce may choose not to take steps to verify the information contained therein, and responsibility for any harm or damages caused by my fraudulent or negligent misrepresentations will be my own All nominations must be received by June 23, 2016 and must be sent to Warm Regards, Rakhi Panda Regional Director Indo-American Chamber of Commerce 1-C, Vulcan Insurance Building, Veer Nariman Road, Churchgate, Mumbai Tel : / / Fax : May th Indo-American Corporate Excellence Awards, 2016

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