<p> Application Form Game Changer in Agro Processing Award</p><p>Definition: To recognize organizations in Agro processing Sector who have made a mark in the industry by their innovative products and going that extra mile for customer delight.</p><p>Nominee Information All questions are mandatory, unless stated otherwise; your questionnaire may not be considered complete if these questions are left blank. 1. CompanyName:______2. Think Agro Membership Status: Member Non-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</p><p>6. Number of Employees (as on 31st March, 2016): ______</p><p>Details of Point of Contact: Please nominate someone from CEOs Office / Head HR/Business Head Name: ______</p><p>Designation: ______</p><p>Contact number : ______</p><p>Email address : ______</p><p>Postal address : ______</p><p>______</p><p>______</p><p>______</p><p>What are your flagship products and how are they innovative? </p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………</p><p>Mention some initiatives that your organization has initiated to service your customers better and provide customer delight. </p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………………………………………………………………</p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………</p><p>Are the above products and services trendsetters in the industry? Why? </p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………</p><p>Has your organization won any industry awards in the past? Please mention the same.</p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………</p><p>What impact have your initiatives had on your stakeholders? (customers, channel partners, employees and investors)</p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………………………………………………………………</p><p>………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………… What efforts have you taken for the initiatives to sustain and grow over the next few years? ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… …………………</p><p>Please use the space below to add any further details/information ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………………………………………………………………………………………… ………………… Declaration:</p><p>I ………………………………………………………. solemnly affirm that the above information is true and correct. I understand that this information is necessary for</p><p>The HR Club to consider my candidature for the above award. </p><p>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. </p><p>I also understand that the entry fee also entails me to attend the 8th National</p><p>Conference & Game Changer Awards organized by The HR Club and Think Agro.</p><p>Signature</p>