Company Information

Company Name: *

Company Website: *

Headquarters Location: *

Industry/Vertical: *

Headcount (Number of Employees): *
Choose the range that best represents your company's size
Less than 1,0001,000 - 10,00010,001 - 50,00050,000 - 100,000More than 100,000

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Business Information

Primary Business of the Company:
Select the model that best describes your business operations
Select the best description of your company’s businessService ProvisionProduct SalesProduct & Service BundleSubscription BasedOther

Key Products/Services:

Major Clients:

Market Presence (Regions/Countries):

OEM Partnerships and Alliances:

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Sales Performance Information

Sales Revenue Range (Last Fiscal Year):
Select the revenue range for the previous fiscal year
Select revenue Range<Rs.1CrRs.1Cr-Rs.5CrRs.5Cr-Rs.10CrRs.10Cr-Rs.50CrRs.50Cr-Rs.100CrRs.100Cr+

Annual Sales Growth (Last Fiscal Year):
Choose the growth range that reflects last year's sales
Select Sales Growth0-25%26-50%51-75%75-100%100%+

Number of Regions/Countries with Active Sales:
Indicate regions/countries with ongoing sales activities
Select Active Sales region12-56-1011-2020+

Customer Retention Rate:
Select the percentage of customers retained from last year
Select Retention Rate0-50%51-70%71-85%86-95%96-100%

Provide the number of new customers acquired in the current financial year:

Please provide the names of the five closest competitors in your industry:
List the top five companies you compete with most frequently

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Industry Influence

Past Sponsorship Experience:
Have you sponsored employees for industry events before?
YesNo

Number of Employees Typically Sponsored:
Average number of employees sponsored for events annually
Select Employee Sponsored1-56-1011-2021-5050+

Types of Industry Association Events Sponsored:
Tick the types of events your company typically sponsors
WorkshopsSeminarsConferencesTraining SessionsNetworking EventsOthers

Interest in Future Sponsorships:
Rate your company's interest in future event sponsorships
Highly InterestedSomewhat InterestedNeutralNot Interested

Key Objectives for Employee Sponsorship:

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Corporate Social Responsibility (CSR)

CSR in Industry Event Promotion:
How often do you promote industry events as part of CSR?
RegularlyOccasionallyRarelyNever

CSR Knowledge Sharing Initiatives:

Select Sustainability Commitment Self-Rating:
Rate your commitment to sustainability practices
select sustainability CommitmentFully CommittedPartially CommittedExploring OptionsNot Committed

Support for Green Ecosystem:
How actively do you support green initiatives?
Actively SupportSupport When PossibleNeutralDo Not Support

CSR Statement on Sustainability and Green Initiatives:

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Nominator Information

Full Name of the Nominator:

Role/Designation:

LinkedIn Profile URL:

Official Email ID:

Contact Number:

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Declaration:

By checking the box below and submitting this application form for the APMP India Leadership Awards, I hereby declare and affirm that:

• • The information provided in this application form is true, accurate, and complete to the best of my knowledge.

• • I understand and acknowledge that any misrepresentation or misinformation provided at any stage of the awards process may result in disqualification.

• • I am aware that filling up this application form is solely a process for the shortlisting for nominations and does not guarantee nomination or award.

• • I acknowledge that APMP India reserves the right to reject any nomination without providing a reason, and they will not be liable to answer any questions or queries related to such actions.

• • I agree to abide by the terms and conditions of the APMP India Annual Excellence Awards policy.

• • I understand and accept that APMP India officials, volunteers, and members shall not be held responsible for any claims, damages, or legal actions arising from my participation in the awards process.

• • I hereby indemnify APMP India, its officials, volunteers, and members from any claims, liabilities, costs, or expenses that may arise due to my participation in the APMP India Leadership Awards.

• • I confirm my authorization to share the information provided in the application form and agree to the terms and conditions.

I confirm that I have read and understood the above declaration and agree to comply with all the terms and conditions outlined herein.

I agree to the above declaration.

Please check the box to indicate your agreement with the declaration before submitting the registration form.

Thank you for taking the time to complete this application form. Please Click "Submit" to send us your application.

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Personal Information

Full Name: *

Primary Email ID (for official communication only): *

Mobile Contact Number (for urgent updates only): *

LinkedIn Profile URL: *

Current Role/Designation in the Company: *

Company Information

Current Company Name:

Industry of Your Company:

Total Employee Count in Your Current Company:

Annual Revenue of Your Company:

Number of Direct Team Members You Currently Lead:

Leadership Influence

Are you responsible for budget allocation decisions within your company? (Yes/No)
(Hint: Indicate if you have responsibility for budget allocation decisions.)
YesNo

Approximate Annual Budget You Directly Control or Influence:

How many industry events (conferences, seminars, webinars, etc.) do you typically participate in each year?

Have you received any industry awards or recognitions? If so, please list them.

Kindly furnish a list of industry associations for which you currently hold membership.

Declaration:

By checking the box below and submitting this application form for the APMP India Leadership Awards, I hereby declare and affirm that:

• • The information provided in this application form is true, accurate, and complete to the best of my knowledge.

• • I understand and acknowledge that any misrepresentation or misinformation provided at any stage of the awards process may result in disqualification.

• • I am aware that filling up this application form is solely a process for the shortlisting for nominations and does not guarantee nomination or award.

• • I acknowledge that APMP India reserves the right to reject any nomination without providing a reason, and they will not be liable to answer any questions or queries related to such actions.

• • I agree to abide by the terms and conditions of the APMP India Leadership Awards policy.

• • I understand and accept that APMP India officials, volunteers, and members shall not be held responsible for any claims, damages, or legal actions arising from my participation in the awards process.

• • I hereby indemnify APMP India, its officials, volunteers, and members from any claims, liabilities, costs, or expenses that may arise due to my participation in the APMP India Leadership Awards.

• • I confirm my authorization to share the information provided in the application form and agree to the terms and conditions.

I confirm that I have read and understood the above declaration and agree to comply with all the terms and conditions outlined herein.

I agree to the above declaration.

Please check the box to indicate your agreement with the declaration before submitting the registration form.

Thank you for taking the time to complete this application form. Please click 'Submit' to send us your responses.