Nomination Form for Large and Mid-size firm
Company Name:
Contact Person Name:
Mobile:
Telephone No.:
Email:
Web Address:
Details of Nominee:
Nomination Category:
Choose from BellAward Website: www.bellaward.com/categories
Nomination Title:
Name of Product/Service/Solutions
Team Lead Name:
Cell no.:
Email:
Please enclose the following other documents:
1) Brief profile of team lead
2) List other team members and brief profile
3) Submit a white paper/ proposal/ concept note/ project details. The white paper should
contain an abstract of the idea not more than 1000 words or one page and the paper
itself should not exceed three to five pages. If required we may ask for further details.
4) Case Study if the product or solution has been deployed in practical
5) 5 critical Comparison with other similar products in Market
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Terms & Conditions:
1. Nomination Processing Fee: (*14% service tax extra)

Large and Mid-size firm: USD$700 ;
o Large Organization: Annual Turn Over > $1Mn
2. If you have nominated your product/solution in previous awards, you cannot
nominate the same product/solution.
3. Participation of entry does not guarantee getting an award.
4. If you have to rectify the form after submission, you will have to submit a new form
requesting to cancel the previous one.
5. By submitting this nomination you accept that we can pass this information to judges
and that, if the project wins, we can publish this information in print and online before,
on or after award ceremony without further reference to any of the companies
involved.
6. Categories may be realigned or reconsolidate with the mutual consent of Jury Members
and Knowledge Partner
7. Final decision would be entirely based on the judgement of Jury members.
You have following payment options:
1) For payment send a DD to Delegation office in Mumbai in the name of “Aegis Knowledge
Trust A/c Aegis Graham Bell Awards” payable at Mumbai.
2) For Bank Transfer: You can transfer the money to Aegis Graham Bell Awards Business
account
Bank Name: Axis Bank Ltd
Account Name: Aegis Knowledge Trust A/c Aegis Graham Bell Awards
Account Number: 911010027349782
Bank: Axis Bank Ltd, CBD, Belapur, Navi Mumbai 400614, MH, India.
MICR Code: 400211068
IFS Code: UTIB0000861
Nomination Deadline: 10 April 2016, Mumbai, India
Dates for Jury Round: 18-20 May 2016, Mumbai, India
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Please Fill this form and Send the soft copy of the nominations from organization to:
Mukesh Vaghela
Manager, Marcom
Aegis Graham Bell Awards
|Cell +91 983 385 4488 | [email protected]
Gyavin Picardo
Manager-Innovation Network
Cell: +91-902 289 3868 | [email protected]
Aegis Graham Bell Awards | 1101, 11th Floor, B Wing, Kukreja Centre, Sector 11, CBD Belapur,
Navi Mumbai – 400614 India.
www.bellaward.com
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