2. Dr.MIMS Awards 2014 Application form Award Category: Best Innovation in Healthcare Applicant Name: Designation: E-mail: Mobile No: Postal Address: Pin code / Zip code:

3. Snapshot Outline in a sentence or two and insert inputs immediately below each question Define your Innovation? Who is the targeted beneficiary? How does it benefit the beneficiary? What is the differentiating factor over other existing productes / Services?

4. Executive Summary – 1 Define your Innovation

5. Executive Summary – 2 Describe the need of such Innovation

6. Executive Summary – 3 Describe the benefits to the beneficiary through your Innovation

7. Market Analysis What is the potential for your innovation to be successful? Outline in a sentence or two and insert inputs immediately below each question What is the total reach of your innovation? India and Global What are all the risks you foresee for your innovation and how do you plan to mitigate these risks? Information on Competing products / Services (Present as strength and weakness)

8. Strategy for Reachability How will your innovation reach the beneficiary?

9. Competition List current and potential competition for your innovation with the name of the Company.

10. Testimonials

11. Charts/Pictures/Images

12. Brief Profile of the Applicant