Dun & Bradstreet RBL Bank Limited

Dun & Bradstreet – RBL Bank Limited SME Business Excellence Awards 2017 Nomination Form: Entrepreneurial Spirit Award – Woman Entrepreneur Eligibility Criteria:

SME Segment: Companies that fulfill the criteria for small and medium enterprises as defined by the MSMED Act, 2006 will be considered under this segment. Accordingly, the criteria is,

Manufacturing Enterprises Services Enterprises Classification Investment limit in Plant & Machinery Investment limit in Equipment Small More than Rs 25 lakhs but less than Rs 5 crore More than Rs 10 lakhs but less than Rs 2 crore Medium More than Rs 5 crore but less than Rs 10 crore More than Rs 2 crore but less than Rs 5 crore SME segment awards will cover businesses that meet the above criteria for small OR medium size in manufacturing and services respectively. Micro enterprises are not covered under these SME Awards.

 Mid-Corporate Segment: Businesses (in manufacturing / services sector) that exceed the investment threshold of SME, as defined above and whose turnover is NOT more than Rs 500 crore for FY17 will be eligible under this segment.

 Businesses involved exclusively in trading activities are not eligible to apply for the awards Key Instructions:  Following sections are mandatory - Section A (General Information); Section B (Business Operations and Financial Performance); Section E (Declaration)  All valid entries will receive a ‘Participation Certificate’ from Dun & Bradstreet and RBL Bank, acknowledging and thanking you for your participation  Annual Reports/Financial statements of FY17, FY16, FY15 to be sent compulsorily along with the nomination form  Financial information provided in the nomination form will be kept confidential  Please provide all financial figures in Rupees Crore  Nominations / queries can be sent across at [email protected]  The last date for submission of completed nomination forms is 7th October, 2017 Key Documents to be submitted: Mandatory Documents for FY17 and FY16 Strongly Recommended Documents  Annual Reports for FY17, FY16 and FY15 OR  Company/investor presentation explaining business model  Audited Financial Statements for FY17, FY16, FY15 OR  Marketing Collaterals, Product Brochures, Company Brochures  Unaudited Financial Statements for FY17, FY16, FY15  Client Testimonial OR Customer Feedback  Banker's Confidentiality Letter  Award/Quality Certifications, Patent documents, Technology SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 1 Agreements  Details/Evidence of Entrepreneur’s Professional Achievements  Credit rating report/score Section A: General Information

A.1] Company Information

Registered Name of the Business:

Head Office Address:

Year of commencement of Business Operations: Website:

Telephone: Mobile:

□ □ □ A.2] Ownership Pattern: Proprietorship Partnership Private Limited

□ □Limited Liability Partnership ( Public Limited LLP)

A.3] Details of Woman Entrepreneur Name: Designation: 1 Mobile: Email id:

A.4] Kindly mention your shareholding/ownership in the business as on 31st March 2017? ______% A.5] Who are the other major shareholder/s in the business?

Name: Designation:

Relation: Shareholding in the business: ______%

Section B: Business Operations and Financial Performance

□ Manufacturing / Processing □ Services □ Trading B.1] What is the nature of your business?

B.2] What is your main line of business? OR What is the nature of services provided by your business?

(Please tick only one option that applies) Manufacturing Services Engineering & Machinery IT & IT Enabled Services Chemicals & Pharmaceuticals Transportation & Logistics SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 2 Textiles & Garments Professional & Business Services Food Processing & Agro Products Education & Health Services Electrical & Electronic Goods Travel, Tourism & Hospitality Plastic & Plastic Products Digital and Fintech Solutions Renewable Energy Products

Others (Please specify) ______

B.3] Products manufactured by your business? OR What services do you provide? ______

B.4] Plant Details Number of plants and address (for manufacturing sector) Number of centres and address (for services sector)

B.5] Total Investment as on 31 March 2017 (excluding land and building) in Plant & Machinery (for manufacturing business) OR Equipment (for Services business) □ Less than Rs 10 lakh □ Between Rs 2 crore and Rs 5 crore

□ Between Rs 10 lakh and Rs 25 lakh □ Between Rs 5 crore and Rs 10 crore

□ Between Rs 25 lakh and Rs 2 crore □ More than Rs 10 crore

B.6] Financial Highlights (Annual Report/Audited Financials for FY17 and FY16 are mandatory to be submitted) (In Rs. crore) Particulars FY17 FY16 FY15

Total Turnover* (From Profit and Loss statement)

Net Profit (Profit after Tax) (From Profit and Loss statement) Total Number of Employees (including contract labour)

Export turnover

* Total Turnover is the business topline essentially the value of goods or services sold or delivered by your business in the FY.

B.7] Business model and its details

SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 3 Please provide details of your business and business model and its USP

(Please be as descriptive as possible by attaching additional documents)

B.8] What are the USPs (Unique Selling Points) that differentiate your company from its competitors?

Please provide details about the unique factors that gives your company a competitive advantage with respect to its competitors such as product uniqueness, pricing power, strong brand etc.

Section C: Details of Woman Entrepreneur

C.1] Please share with us your Story/Inspiration for starting the business

(Please be as descriptive as possible by attaching relevant and additional documents)

C.2] Please share your Educational Background

C.3] Please share your Professional Experience and Achievements

C.4] Please mention Any Awards/recognition won (Both from governmental and non-governmental organisations)

SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 4 (Please be as descriptive as possible by attaching relevant and additional documents)

C.5] Briefly summarize your future plans

SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 5 C.6] Initiative in critical areas taken by you -

Please provide information on-  Key initiatives taken by you in various critical areas for overall business development  How has it helped you in the specific business area?  Names of relevant documents/certifications/financial information attached

Below indicators are only for your reference and are only illustrative. Please do not restrict yourself to these illustrations and please feel free to provide as much relevant information as possible and make your own case.

(Please be as descriptive as possible by attaching additional and relevant documents) Area Examples of Initiatives Information to be provided in Details provided in separate sheet/documents to separate sheet/attached be attached documents (Please mention Yes/No) Operational Excellence Improving operational efficiency, Production details, technology capacity utilization, cost optimization agreements, quality etc. certificates, awards won etc. Sales and Marketing Marketing strategy, details of Product brochure, company marketing campaign, impact on brochure, marketing income/profit/clients etc. collaterals, customer feedback, awards won etc. Product / Service – New product developed or new Quality certification, customer Quality & Innovation service offered, quality improvement feedback or testimonials, exercise undertaken, new technology patents, awards won etc. adopted etc. Digital Adoption Digital marketing, digitization of Online presence, e-commerce, documents etc. social media etc. Human Resource Lower attrition, improved Employee welfare schemes, Management productivity, highly engaged employee satisfaction surveys workforce etc. etc. Customer Service & Initiatives for customer retention, Customer feedback or Excellence increase in sales, acquisition of new testimonials, awards won etc. customers etc. Health & Safety Group health and life insurance, Medical check-ups, workplace safety record etc. safety certifications etc. Corporate Social Social welfare activities conducted in Number of children educated, Responsibility (CSR) areas of health, education etc. medical camps, CSR expenses, awards etc.

SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 6 Section D: Miscellaneous Information

D.1] Credit Rating  Do you have credit rating report? □ Yes □ No  If yes, please provide the name of the agency: ______ Rating Score and the period: ______ Credit Rating Report Attached: □ Yes □ No

D.2] Banking Partner Information  Kindly name your primary bank with whom you conduct business: ______ Banker's Confidentiality Letter attached: □ Yes □ No

D.3] Do you want Dun & Bradstreet to contact you for better understanding of D&B’s products for your business? □ Yes □ No

Section E: Declaration

This is to certify that the above information is true and correct to the best of my knowledge –

Name of the respondent: ______Designation: ______

Email: ______Mobile No and landline: ______

Signature and Date: ______

Please use company seal for authentication.

Please provide details of the person we should contact for any clarifications/further information (leave blank if same as above)

Name of the respondent: ______Designation:

______

SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 7 Email: ______Mobile No and landline:

______

Please send the completed nomination form to SME Business Excellence Awards Nomination Centre: Contact: Christopher D’Souza (022 - 66801342) Pooja Wadhwa (022 -66765569) [email protected] [email protected] Dun & Bradstreet Information Services India Pvt. Ltd., ICC Chambers 2, 2nd Floor, Near Saki-Vihar Telephone Exchange, Saki-Vihar Road, Powai, Mumbai - 400072, Maharashtra. CIN - U74140MH1997PTC107813 You may also email us the filled nomination form at [email protected]

SME Business Excellence Awards 2017 – Woman Entrepreneur Spirit Award Nomination FormPage 8