INTERNATIONAL TRADE AWARDS NOMINATION APPLICATION FORM

(Please read instructions carefully) 1. Legal Name of the Applicant:       2. Date of Incorporation/Establishment:[Format: DD-MM-YYYY]       3. Address for correspondence:

City  Pin  Telephone No:  Fax No:  Web site address:  E-mail address:

4. Contact Person for Correspondence:

5. Constitution  Public Limited Company  Private Limited  Sole Proprietorship  Partnership  Other (specify): 6. Are you a manufacturer or a Trade House? ( Please Tick only one)  Manufacturer  Trade House

7. Category Applied for (Please tick only one):

Category Eligibility Criteria Outstanding Exporter of the Year Exporters with three or more years' track record Emerging Exporter Exporters with one to three years' of track record International Trade House of the Year International Trade Houses with three or more years' track record Most Value Creating Importer of the Year Any company which is a substantial importer

8. Which Industry best describes your current business: ( based on largest product category sold )

1   Engineering Goods ( including machinery & instruments, transport equipment, iron & steel & other metal manufacturers, electronic goods, auto & auto ancillaries)   2   Textiles including ready made garments & leather   3 Chemicals & Related products (Including basic chemicals, pharmaceuticals, cosmetics, plastics & linoleum, rubber, glass , residual chemicals and allied products)   4 Agriculture, food, FMCG and allied products   5 Gems & Jewellery   6 IT, IT enabled services, communication, infocomm   7 Infrastructure & utilities including power, oil , gas and telecom, construction   8 Others (please specify)

9. Industry Sub segment (For e.g: under "Engineering" , sub segment could be machinery & instrument)

10. Major Products sold domestically and value (Rs.Lakhs)

FY2006 FY2007(mention period - Start MM/YY to End MM/YY)   1     2

11. Major Products exported and value (Rs. lakhs only):

FY2006 FY2007(mention period - Start MM/YY to End MM/YY)   1     2

12. Major Products/Raw Materials Bought domestically and value (Rs.Lakhs)

FY2006 FY2007(mention period - Start MM/YY to End MM/YY)   1     2

13. Major Products/Raw Materials Imported and value (Rs. lakhs only):

FY2006 FY2007(mention period - Start MM/YY to End MM/YY)   1     2

14. FINANCIAL INFORMATION : Please provide the following financial information in Rs. Lakhs only

Rs Lakhs only FY2006 FY2007 so far (mention period Start MM/YY to End MM/YY) Total Income ( net of excise) Export Income Value of Export Incentives Value of imported Raw Material Total Raw Material Costs Profit after tax Tangible Networth ( Equity Capital +Reserves) Total debt Deferred Tax Liability