Game Changer in Agripreneur Award

Application Form

Game Changer in Agripreneur Award

Definition: To recognize first and second generation entrepreneurs in the agriculture sector (Farmer Producer Organizations, Cooperatives, Biotech, IT & Mobile App Solutions for Agriculture, Farm Equipment, Drip Irrigation, etc.) who have been influential in setting a new path for their organization and thus leading the organization to profitability and rapid growth.

Nominee Information

All questions are mandatory, unless stated otherwise; your questionnaire may not be considered complete if these questions are left blank.

1. Company Name:______

2. Think AgroMembership Status: MemberNon-Member

3. Type of Entity

Large Companies
SME

[Definition of SME:

For Manufacturing sector: Enterprises which have an investment of twenty five lakhs to ten crore rupees in plant & machinery

For Service Sector: Enterprises which have an investment of ten lakhs to not more than five crore rupees in equipment]

4. Date of Incorporation in India(dd-mm-yyyy): ____-____-____

5. Revenues (as of FY 2015-16)

<INR 50 crore per year
INR 50-200 crore per year
INR200-500 crore per year
>INR 500 crore per year

6. Number of Employees (as on 31st March, 2016): ______

Details of Point of Contact: Please nominate someone from CEOs Office / Head HR/Business Head

Name: ______

Designation: ______

Contact number : ______

Email address : ______

Postal address :

______

What are your flagship products and how are they innovative?

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

Mention some initiatives that your organization has initiated to service your customers better and provide customer delight.

Are the above products and services trendsetters in the industry? Why?

Has your organization won any industry awards in the past? Please mention the same.

What impact have your initiatives had on your stakeholders? (customers, channel partners, employees and investors)

What efforts have you taken for the initiatives to sustain and grow over the next few years?

Please use the space below to add any further details/information

Declaration:

I ………………………………………………………. solemnly affirm that the above information is true and correct. I understand that this information is necessary for The HR Club to consider my candidature for the above award.

I also agree to pay a non-refundable sum of Rs ……………………….. towards the entry fee. I understand that the decision of the jury of The HR Club is final and my entry may or may not be shortlisted.

I also understand that the entry fee also entails me to attend the 8th National Conference & Game Changer Awards organized by The HR Club, Leadership Lounge, TEN India and Think Agro.

Signature