1. JCI DHAPASI BASANT CHAUDHARY CYEA 2016 Online Nomination Form

  2. Nominee's First Name/Given Name(*)
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  3. Nominee's Second Name(*)
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  4. Mobile/Telephone(*)
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  5. Email(*)
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  6. Date of Birth(*)
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  7. Name of Company(*)
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  8. Company Registration Number(*)
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  9. Full Mailing Address(*)
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  10. Business Phone Number(*)
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  11. Website
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  12. Describe the company and Business - it's current stage of development, its core activities, size, market strategy, position in the market, and what sets it apart from its competitors. (Max 500 words)(*)
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  13. When was the business founded?(*)
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  14. What percentage of the company does the nominee currently own? (%)(*)
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  15. Nominee Position in the Company(*)
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  16. When did the nominee assume responsibility?(*)
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  17. Describe the nominee's entrepreneurial achievement for which you are nominating for the Creative Young Entrepreneur Award. Please give details about the use of creativity, ingenuity and innovation in management approach, market strategy, customer service, use of technology, or any other aspect of the company. (Max 250 words)(*)
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  18. Please provide following documents after Nominee shortlisted.
    a) ID/Birth Certificate(A certified copy of the ID/Birth Certificate to be uploaded to prove the age of the nominee
    b) Personal Photograph of Nominee
    c) CSR Photos, Media Coverage
    d) Company Registration certificate
    e) Audited account report
    f) 10mins Video about Creativity of your Business.
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