1.
12th Indo-American Corporate Excellence Awards, th July Regal Room, Hotel Trident, Nariman Point, Mumbai, India Nomination Form June 10, 2016

2. Important Instructions
Guidelines for:
i) Completing the nomination form
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
12th Indo-American Corporate Excellence Awards, 2016
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3. Important Instructions
ii) Submitting the nomination form
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 10, 2016 to IACC : .
If you have any questions about the nomination form, please contact us at .
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4. Important Instructions (Cont’d)
Eligibility Criteria:
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, 2016.
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
Declaration:
It is mandatory to attach signature of authorized personnel from your Organization and Company Seal on the last slide of this presentation.
12th Indo-American Corporate Excellence Awards, 2016
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5. All Categories(Mandatory for all)
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6. 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 1
Excellence in Manufacturing 2
Excellence in Services 3
Green office space of the year 4
Excellence in CSR 5
Excellence in Innovation 6
Start-up of the Year
Please tick (3) 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
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7. 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 years Company operating
In India :
In USA :
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8. 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 :
*Revenue (In USD) A
$0-$100 million B
$100-$500 million C
$500 to $2 billion D
Above $2 billion
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9. 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)
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10. Section 2: Company Information (Cont’d)
Q2) Briefly describe about the Company’s history and of its establishment in US and India Market
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11. Industry – sections 3 to 7 (Mandatory if applying for Industry Category)
Excellence in Manufacturing
Excellence in Services
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12. Section 3: Company Excellence
Reference (Please tick, if applicable)
Challenges
Initiatives
Q1) Describe key challenges/obstacles faced in launching and building the Company and initiatives taken to overcome.
Q2) Describe the challenges faced by your organization while implementing the initiative(s) and explain the strategies implemented to overcome them successfully.
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13. Section 3: Company Excellence (Cont’d)
Reference (Please tick, if applicable)
Key Discoveries/Unique Industry Practices
Impact
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.
Q2) Describe the challenges faced by your organization while implementing the initiative(s) and explain the strategies implemented to overcome them successfully.
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14. Section 4: Promotion of Indo-US Trade
Reference (Please tick, if 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.
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.
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15. Section 4: Promotion of Indo-US Trade (Cont’d)
Reference (Please tick, if applicable)
Initiatives
Impact
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.
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16. Section 5: Human Capital Management
Reference (Please tick, if applicable)
Q1) Describe any innovate human capital policies followed in the organization that helped create a friendly/flexible work environment for all employees.
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17. Section 6: Market Impact (Applicable for US Companies)
Reference (Please tick, if applicable)
Initiatives
Impact
Q1) Describe initiatives taken to enhance economic/ social/cultural well being of communities and its impact (qualitative and quantitative)
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18. Section 6: Market Impact (Applicable for Indian Companies)
Reference (Please tick, if applicable)
Q2) Describe initiatives taken to promote ‘Brand India’ and creation of employment opportunities.
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19. Section 7: Corporate Governance
Reference (Please tick, if applicable)
Q1) Describe the measures taken to advance governance and compliance activities and their integration with business activities
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20. 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
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21. Section 8: Green Office Space of the Year
Reference (Please tick, if applicable)
Eco-Friendly Aspects
Impact
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.
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22. Section 8: Green Office Space of the Year (Cont’d)
Reference (Please tick, if applicable)
Q2) Describe the challenges faced by your organization while implementing the initiative(s) and explain the strategies implemented to overcome them successfully.
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23. Section 9: Excellence in CSR
Reference (Please tick, if applicable)
CSR Initiatives
Impact
Q1) Describe unique aspects of CSR Initiatives undertaken in the last xx years by the organization and its impact on the community.
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24. Section 9: Excellence in CSR (Cont’d)
Reference (Please tick, if applicable)
Q2) Describe your vision behind developing the initiative and how will it be beneficial for the organization in the long run?
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25. Section 10: Excellence in Innovation
Reference (Please tick, if applicable)
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.
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26. Section 10: Excellence in Innovation (Cont’d)
Reference (Please tick, if applicable)
Q2) Describe the challenges faced and initiatives taken to achieve successful implementation of innovation.
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27. Section 11: Start-up of the Year
Reference (Please tick, if applicable)
Q1) Briefly tell us the objective, vision and mission of your Start-up and what prompted/triggered to start the organization.
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28. Section 11: Start-up of the Year (Cont’d)
Reference (Please tick, if applicable)
Q2) Describe the gaps which were addressed by your start-up and challenges faced in addressing them.
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29. 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 10, 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 :
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30. Thank You
© 2016 PricewaterhouseCoopers Private Limited. All rights reserved. In this document, “Pwc” refers to Pricewaterhouse & Co.LLP (a limited liability company in India having Corporate Identity Number or CIN: U74140WB1983PTC036093), which is a member firm of PricewaterhouseCoopers International Limited (PwCIL), each member firm of which is a separate legal entity.
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