APPLICATION FORM for ET Retail Awards Instruction to complete the form

1. The form can be filled in soft copy but must be printed, then signed, and couriered / hand delivered to the specified address 2. Application form needs to be filled only in the English language 3. Applicant will have to fill up all the sections in the form, else it will not be considered as a valid entry 4. Back the entry details with adequate numbers and supporting documents wherever applicable. Ideally, MIS reports showing the increase / improvement in performance would be ideal to demonstrate the impact of the initiative being entered 5. The Application Form needs to be signed, at the space provided, by at least two senior officers of the organization (from amongst the MD, CEO, COO, Chairman, Directors, Trustees, HOD, etc.) 6. Each form can be used only for a single Entry. If additional forms are required for applying in multiple categories, another copy of the relevant application form can be used. 7. The form can also be downloaded from the website www.xxx.com 8. Please send the completed and signed form in by xxxxx to yyyyyy 9. If you have any questions about the Application Form, please contact abcd at lmno 10. Please refer to Rules & Regulations document for additional guidelines on participation 11. Participation in the Awards will be construed as an acceptance of the Rules and Regulations stated herein. The Application Form signed by the Applicants would indicate their acceptance of these Rules and Regulations.

Please tick the category applied for: Retail idea of the year Excellence in rural marketing Retail franchiser of the year Online retailer of the year Excellence in employee practices Innovative operating idea of the year Excellence in customer service Responsible retailer of the year Innovative store design of the year Retail Personality of the year Family Business Retailer of the year

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GENERAL INFORMATION
Name of the Company Office address Contact details Turnover Employees Geographic spread Type of retail outlets FMCG Durables Auto Perishables Financial products Services 3 Key items retailed (tick all Apparels Electronics household Accessories that are applicable) Others (pls specify) __________________________________________ Online sales as a percentage of total sales < 10 % <30% < 50% <75% 100% Telephone: Email: Company website: < Rs 10 cr < Rs 100 cr < Rs 500 cr < Rs 1000 cr > Rs 1000 cr < 10 < 100 < 500 < 1000 > 1000 Number of outlets***: ___________ Number of states: ______________

CASE STUDY (questions 1 - 6)

1. Describe the need / challenge / problem faced that resulted in the initiative / innovation (max 100 words)

2. Describe the initiative / innovation which resulted in helping overcome the challenges faced (max 200 words)

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3. Describe the process of implementing the above initiative / innovation. What were the challenges faced in doing so? (max 150 words)

4. What was the impact / benefits of implementing the above initiative / innovation on each of the stakeholders? (max 50 words each stakeholder) Stakeholder Company (e.g. cost reduction, revenue enhancement, branding etc) Customer (e.g. enhanced customer satisfaction, customer loyalty, etc.) Industry (e.g. peers / business partners / competitors, etc.) Impact

Others

5. How do you see the initiative / innovation evolving over the next 3 years? (max 150 words)

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6. Other Details Costs* (Rs. In lacs) Technology : HR : Research : Others : Total :

Timelines Other relevant information (max 150 words)

7. Signatories

__________________ (Senior Officer 1 signature*) Name: _____________________________ Designation: ________________________ E Mail: _____________________________ Contact number: _____________________

__________________ (Senior Officer 1 signature*) Name: _____________________________ Designation: ________________________ E Mail: _____________________________ Contact number: _____________________

* The Application Form needs to be signed by two senior officers of the organization (from amongst the MD, CEO, COO, Chairman, Directors, Trustees, HOD, etc.)

8. Declaration The information provided is true to the best of my knowledge and belief. I accept the rules and regulations of participation. Name Sign & Date

Company Seal

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9. Form completion checklist Completed the form in permanent ink? Completed the form in English only? Got the form signed by any TWO people from amongst the MD, CEO, BoD, CMO, CFO? Completed all questions in the form? Provided adequate supporting documentation for the jury to validate / verify your entry Used a separate form for every entry sent in? Provided a valid email ID and contact number so that we can contact you if you are shortlisted for the finals? Retained one copy of the application form with you for your reference?

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