Nomination Form

Eligibilty Criteria
All micro, small and medium companies registered in India are eligible to apply for the IndiaMART Leaders of Tomorrow Awards - 2010. The jury reserves the right to decide the award winners and their decision will be final in this respect.

Contact Information
Mandatory Fields *

Name of the company *: Name of the promoter *: Designation of the promoter: Gender: Date of Birth"*: Address * : City *: Male
MM

Female
DD YYYY

State *: Tel. (Board line): Mobile* : Email ID * :

Pin *: Tel. (Direct): Fax: Website:

Legal Information

Legal status of the company Private Ltd. Proprietorship Partnership Year of establishment Public Ltd. (Closely held) Public Ltd. (Listed / widely held)

Whether the company was started by the current promoter himself / herself Yes No

Industry Vertical Manufacturing Services

Please specify the products / services you provide

Financial Information (Step 1 of 2)

Particulars Are the financial statements audited? Sales turnover Profit after taxes (PAT) Net worth / Capital Total debt (Long term + Short term) Total assets Please round off all amounts to the nearest Crores. 2008-2009 Yes No Rs. crores Rs. crores Rs. crores Rs. crores Rs. crores 2009-2010 Yes No Rs. crores Rs. crores Rs. crores Rs. crores Rs. crores

Growth estimates of revenue in 2010-2011 as compared to 2009-2010 Revenue less than last year (more than 25%) less than last year (upto 25%) same as last year more than last year (upto 25%) more than last year (more than 25%)

Growth estimates of profit in 2010-2011 as compared to 2009-2010 Revenue less than last year (more than 25%) less than last year (upto 25%) same as last year more than last year (upto 25%) more than last year (more than 25%)

About the Company

No.of employees Number of computers used by the company Does the company / firm undertake any measures to protect the environment or save energy? Yes No

Has the company won any awards / recognitions in its functional area? Yes No

If yes, then please specify the name of the awards / recognitions Is the company affilliated to any industry association? Yes No

If yes, than please specify the name of the Industry Association Quality Certification Others (Specify) ISO 9001 ISO 14001 None WHO / GMP

More about the Company (Step 2 of 2)

Mention in brief about the nature of business of the company

Mention any innovation that the company has devised to gain competitive advantage in its functional area

Is there any business activity initiated by the company that has helped society in general & the business also?

Please fill in any additional information

I hereby declare that the above mention information is correct to best of my knowledge.

For company use only Name of Employee: City: Department:

Not Applicable