1. CLEAN ‘n’ GREEN LEADERS AWARDS 2015 ( C’n’GLA ) CATEGORY a. Large & Medium size Organizations, Service Sector organizations having more than 250 employees : Rs. 30,000/- b. Small Sector Enterprises, Investor-Owned Utility, Service Sector organizations having fewer than 250 employees : Rs. 20,000/- c. Micro Enterprises, Projects Teams : Rs. 10,000/- d. Individual Nominations, NGOs, Communities, City Councils: Rs. 5,000/- e. Students Project Teams (each Member) : Rs. 500/- You may submit your nomination for maximum three award categories. NOTE a. Entry fee will be fully refunded if the entry is not selected for C ’n’ G Leaders Awards 2015 b. Entry fee is inclusive of all the event charges of Clean ‘n’ Green Rural India Summit 2015. c. One page profile of each winner of C ‘n’ G Leaders Awards will be published in Summit Souvenir and the Summit proceedings. d. 20% discount on Stall Booking at C’n’GRIs Exhibition. e. 15% discount on Advt. in C’n’GRIs Souvenir KRDWG

2. CLEAN ‘n’ GREEN LEADERS AWARDS 2015 ( C’n’GLA ) Please fill-in the C’n’GLA Nomination Form and mail it along with relevant documents at coordinator@krdwg.org coordinator@krdwg.org For DD/Cheque Fee may be payable by DD/Cheque in favour of (Delhi A/c) “Knowledge Resource Development & Welfare Group“ For Online Payment Name of the account : Knowledge Resource Development & Welfare Group Bank : Punjab National Bank A/C Number : 1120000100167865 Branch : ECE house, K.G. Marg, New Delhi RTGS/ NEFT/ IFS Code : PUNB0112000 PAN NO.: : AABAK4444N Should you have any query, email it at coordinator@krdwg.org or callcoordinator@krdwg.org Mr. Balram at +91 9634721242 We wish all the participants a very happy and prosperous new year Ajay Arora Director-projects Knowledge Resource Development & Welfare Group (KRDWG) Secular House, Ist Floor, 9/1,Aruna Asaf Ali Marg, OPP. JNU-East Gate, Qutab Institutional Area, New Delhi-110067 Mob. +91 9319960792; +91 7827087540 KRDWG

3. CLEAN ‘n’ GREEN LEADERS AWARDS 2015 ( C’n’GLA ) The Award(s) Applied For CategoryLarge/Medium/Small/Micro/Utility/ Project Team/ NGO/ Student Project Team Name of the Applicant Organisation Business address Website Contact Person for the Award Designation Contact NumberTelephoneMob. Email Name of the Highest Ranking Official Position Contact details 1 of 4 KRDWG

4. CLEAN ‘n’ GREEN LEADERS AWARDS 2015 ( C’n’GLA ) Total number of Employees Year of establishment Name of the Parent organization, if any? Address Payment ModeOnline/DD/Cheque Drawee Bank and Branch Payment DetailsTransaction/DD/Cheque No.Date 2 of 4 KRDWG

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7. CLEAN ‘n’ GREEN LEADERS AWARDS 2015 ( C’n’GLA ) The Award Category Name of the Applicant Organisation Designation Address Contact NumberTelephoneMob. Email Years in operation Nominated BySelf/ Other If Other, Name of the Nominator Position Organisation Relation with the Nominee Contact NumberTelephoneMob. Email 1 of 4 KRDWG

8. CLEAN ‘n’ GREEN LEADERS AWARDS 2015 ( C’n’GLA ) Payment ModeOnline/DD/Cheque Drawee Bank and Branch Payment DetailsTransaction/DD/Cheque No.Date 2 of 4 KRDWG

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