MCCIA

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Entrepreneur & Contact

Personal details, company and contact information

Name

Are you First Generation Entrepreneur?

Yes

Company Name

Date of Commencement

Please select Date.

Starting Capital Rs.

Please enter valid Starting Capital Rs.

Email to send acknowledgement

Landline Number

Please provide valid Landline Number.

Fax No.(Optional)

Please enter valid Fax No.

Mobile Number(Optional)

Please provide valid Mobile Number.

Address & Location

Registered company address and geo location

Company Address
Address

City

Pincode

Geo Location (please paste your company's google map location)

Business Profile

Registration, products, locations and investments

MSME Registration Number

Please enter valid MSME Registration Number.

MSME Registration Date

Please select Date.

Legal Status *

Proprietary

Partnership

Private Limited

Public Limited

LLP

Other

Number of Employees

Please enter valid Number of Employees.

Name of the PRODUCT / PROCESS / SERVICES tendered for Award

Please provide valid Name.

Brief Description of product / process / Service (Give details of Product manufacturing in 100 word in attachment)

Please describe briefly the products.

Attahced File (optional)

List of Locations (Business / Manufacturing Units)

Please enter List of Locations (Business / Manufacturing Units).

Gross Block Investment

Please provide valid Gross Block Investment.

Plant & Machinery Investment

Please provide valid Plant & Machinery Investment.

Net Block Investment

Please provide valid Net Block Investment.

Financials & Recognition

Turnover, profit, patents, awards and your nomination write-up

Turnover (Sales) for the last three years

Year	Turnover
Year Please enter valid Year.	Turnover Please enter valid Turnover.
Year Please enter valid Year.	Turnover Please enter valid Turnover.
Year Please enter valid Year.	Turnover Please enter valid Turnover.

Profit for the last three years

Year	Profit
Year Please enter valid Year.	Profit Please enter valid Profit.
Year Please enter valid Year.	Profit Please enter valid Profit.
Year Please enter valid Year.	Profit Please enter valid Profit.

Patent Registered

Yes

Awards Recognition (Name of the award Received)

Please provide valid Awards Recognition (Name of the award Received).

List of Certification (ISO / Standards / Any Other)

Please enter List of Certification (ISO / Standards / Any Other).

Write up about yourself / your Company &why you consider yourself for the award

Please enter about yourself / your Company &why you consider yourself for the award.

Applicants are shortlisted on the information you provide.
Shortlisted applicants are asked for catalogues, sales literature, bio-data and photographs.
Selected candidates are invited for an interview and presentation.
The Selection Committee may request more information or visit your works or factory.

Kindly wait a minute after clicking on submit

Late Kiran Natu Udyojakta Puraskar

Entrepreneur & Contact

Address & Location

Business Profile

Financials & Recognition

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