National Conference-cum-Expo & Awards

Science, Technology & Innovation in

WATER MANAGEMENT

June 28, 2018, Hotel Le-Meridien, New Delhi

“WATER MANAGEMENT EXCELLENCE AWARDS 2018”

Awards in Science Technology Innovation & Initiatives in Water Management

NOMINATION FORM

APPLICATION PROCESS

  • The award process is open to all Indian registered companies.
  • The completed questionnaire should be signed and stamped by the concerned authority in the organization
  • Company can undergo maximum 3 entriesfrom award categories and each category needs to be supported byindividual relevant supportive documents.The supporting documents must be titled clearly in the given format.
  • The application needs to be submitted in both the soft copy as well as the hard copy along with the main application form.
  • The hard copy needs to be sent to the address below through courier/ registered post/ hand delivery with the copies of the supporting documents and the nomination fee.
  • Send your application to Purnima Dhingra, Joint Director, ASSOCHAM HOUSE,

5 Sardar Patel Marg, Chanakyapuri, New Delhi, 110021.

A. COMPANY/ ORGANIZATION DETAILS

ASSOCHAM Member Non-Member

Registered Company Name:______

Year of Establishment: ______

Mailing Address: ______

______

City/Town: ______State: ______

Pin code: ______

Tel: ______Fax: ______

Website: ______

Email: ______

Type of Ownership:

Public Ltd. Private Ltd. Partnership Proprietary Others

B. MEMBERS OF SENIOR MANAGEMENT:

S. No. / Name / Designation / Contact Details
Mobile No. / Email
1.
2.
3.

C. DETAILS OF THE CONTACT PERSON:

Please provide the following details for which the Award Management may contact for any clarification or request for additional information:

Name of designated official: ______

Designation: ______

Mobile: ______

Direct Line: ______

Email: ______

D. AWARD CATEGORIES

The Award will acknowledge excellence in Water Sector in the following areas in a total of 30 categories. The criteria of Awards are contribution, innovativeness, applicability, relevance, impact and potential in the respective area(s) of excellence.

Kindly tick (√) the category you want to file your nomination for. (Maximum 3 categories)

1

Best Science & Technology used in Water Sector

Best Technology of the Year in Water Sector

Best Water Saving Technology of the Year

Best Drinking Water Technology of the Year

Best Innovative Technology in Water Sector

Best Innovative Water Technology used in Agriculture

Best Innovative Water Technology used in Industrial Sector

Best Innovation of the Year in Water Sector

Best Initiative / Innovation in Water Conservation

Best Water Management Practices

Best PPP Model in Water Management

Best Renewable Energy Initiative in Water Management

Best Wastewater Treatment Technology

Best Water Research Innovation of the Year

Best Water Resource Management Initiative

Best Partnership Initiative in Water Sector

Best Sustainable Drainage & Flood Management Initiative

Best Water Management Initiative in the Commercial & Public Sector

Best Environmental Sustainability Initiative in Water Sector

Significant Contribution in the Water Industry

Outstanding Contribution in Water Efficiency & Conservation

Distinguished Innovation & Research / R & D in Water Management

Distinguished Innovation & Research / R & D in Industrial Water

Exemplary Contribution to Society & Environment in the Water Sector

Excellence in the Field of Water Education & Awareness

Excellence in Sustainable Water Management

Best Local Authority Initiative in Water Sector

Best Community Project in Water Sector

Best Media Outreach in Water Awareness

Best Marketing Campaign in Water Sector

1

E. OTHER DETAILS

While sending the nomination form, you are requested to kindly enclose the following:

(Please attach separate annexure for each area with the title on top)

1)A brief profile of the company and its businesses in maximum 500 words.

2)Introduction of the Award Category nominated. Reason for choosing a particular category / categories.

3)Breakthrough achievements & benefits accrued from product / service initiatives made.

4)A write up on your future plan of action/business aspirations.

5)One pager justification on why your company should be considered for the award in the category / categories selected above.

F. PAYMENT PROCEDURE

PROCESSING FEE / METHOD OF PAYMENT
Rs. 34,000/- per category (Inclusive of taxes)
One company can apply only in 3 categories
Please send a duly filled-in Application Format 5, Sardar Patel Marg, Chanakyapuri
New Delhi – 110021
Email:

Last Date : June 15, 2018 / DD / Cheque in favor of ASSOCHAM payable at New Delhi
Cheque / DD No. : ......
Rs: ......
Dated: ......
GST No.: ......

Authorized Signatory Official Stamp

For details please contact:

Purnima Dhingra

Joint Director, Environment Division

98734 83757, 011 4655 0514,011 4655 0566

1