Nominations form Innovations

9th CavinKare-MMA Chinnikrishnan Innovation Awards – 2020

Name of the Nominee* * If in case of partnership / co-ownership, please specify names of all individuals

Name of the Company / Firm

Address Line 1

Address Line 2

Address Line 3

Address Proof* (Max 2MB)

PAN Card* (Max 2mb)

Address Line 1

Address Line 2

Address Line 3

Mobile No*

Landline No

E-mail*

Name of Authorized Representative of Nominee

Nature of Organization: State Whether
privatepartnershipother

Nature of Business

Year of starting of the Business

Turnover of the Business (in Rupees) for the previous three years

Please Attach Turnover Proof* (IT Returns file) (Max 2MB)

A Brief note in 300 words - How your Business is innovative/different

Nominated by

Designation

Representing

Mobile No

Landline No

E-mail

Filling Date

Attach Signature (Max 2MB)