<p> Fastest Growing Portfolio Company This award recognises the investee company with the highest revenue growth over the last three years. The judges will look at the annual CAGR from FY 2007 to FY 2010. The company must have minimum revenue of INR 250 million in FY 2007 to be eligible for the award. Please email the entry form to [email protected], stating the award category in the subject line</p><p>Nominee Company Name: Address: Website:</p><p>Primary Contact Name Title Tel Mobile Email</p><p>Promoters / Core Management Team 1) Name Title Brief Biography</p><p>2) Name Title Brief Biography</p><p>3) Name Title Brief Biography</p><p>4) Name Title Brief Biography</p><p>Private Equity / Venture Capital Investment Details</p><p>Date Investment Amount (INR) Investor/s Other Details  List of key milestones achieved with timeline.</p><p> Has the PE/VC investor exited? o If Yes, give details including Date / Type of Exit / Exit Amount / Cash Multiple and IRR o If No, give details on indicative unrealized Cash Multiple and IRR</p><p>Company Valuation (In Indian Rupees) </p><p>Date of first investment Date of last exit Enterprise Value Equity Value</p><p>Financial Information (In Indian Rupees)</p><p>Financial Year End Most Recent Year 2 Year 3 Year 4 Year 5 DD/MM/YYYY</p><p>Revenue</p><p>Revenue Growth % (YoY)</p><p>EBITDA</p><p>EBITDA Growth % (YoY)</p><p>PAT</p><p>PAT Growth % (YoY)</p><p>Shareholders Equity</p><p>No. of Employees</p><p> Description of business  What has been the impact of the PE investor in terms of enhancing growth?</p><p> Please describe the strategy to achieve growth targets.</p><p> What were the other key drivers of growth (eg. execution) over the last three years?</p><p> Endorsements and testimonials from other parties involved in the company and/or the deal.</p><p> Other Accolades / Awards Received by your firm</p><p> Any other reasons why your company should receive this award?</p><p>Please attach any additional information that you think is relevant including any marketing collateral. </p><p>By sending the nomination the sponsor PE firm and the portfolio company agree that the information submitted is true to the best of their knowledge and agree to submit to the awards process described above.</p><p>Name Date Title Company</p>