CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
CATEGORY
a. Large & Medium size Organizations, Service Sector organizations
having more than 250 employees
: Rs. 30,000/b. Small Sector Enterprises, Investor-Owned Utility, Service Sector
organizations having fewer than 250 employees
: Rs. 20,000/c. Micro Enterprises, Projects Teams
: Rs. 10,000/-
d. Individual Nominations, NGOs, Communities, City Councils: Rs. 5,000/e. Students Project Teams (each Member)
: Rs. 500/-
You may submit your nomination for maximum three award categories.
NOTE
a. Entry fee will be fully refunded if the entry is not selected for
C ’n’ G Leaders Awards 2015
b. Entry fee is inclusive of all the event charges of Clean ‘n’ Green
Rural India Summit 2015.
c. One page profile of each winner of C ‘n’ G Leaders Awards will be
published in Summit Souvenir and the Summit proceedings.
d. 20% discount on Stall Booking at C’n’GRIs Exhibition.
e. 15% discount on Advt. in C’n’GRIs Souvenir
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
Please fill-in the C’n’GLA Nomination Form and mail it along with
relevant documents at coordinator@krdwg.org
For DD/Cheque
Fee may be payable by DD/Cheque in favour of (Delhi A/c)
“Knowledge Resource Development & Welfare Group“
For Online Payment
Name of the account
Bank
A/C Number
Branch
RTGS/ NEFT/ IFS Code
PAN NO.:
: Knowledge Resource Development & Welfare Group
: Punjab National Bank
: 1120000100167865
: ECE house, K.G. Marg, New Delhi
: PUNB0112000
: AABAK4444N
Should you have any query, email it at coordinator@krdwg.org or call
Mr. Balram at +91 9634721242
We wish all the participants a very happy and prosperous new year
Ajay Arora
Director-projects
Knowledge Resource Development & Welfare Group (KRDWG)
Secular House, Ist Floor,
9/1,Aruna Asaf Ali Marg, OPP. JNU-East Gate,
Qutab Institutional Area, New Delhi-110067
Mob. +91 9319960792; +91 7827087540
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
for
A. About the Organisation/ Project Team
The Award(s) Applied For
Category
Large/Medium/Small/Micro/Utility/ Project Team/ NGO/
Student Project Team
Name of the Applicant
Organisation
Business address
Website
Contact Person for the
Award
Designation
Contact Number
Telephone
Mob.
Email
Name of the Highest
Ranking Official
Position
Contact details
1 of 4
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
Total number of
Employees
Year of establishment
Name of the Parent
organization, if any?
Address
Payment Mode
Online/DD/Cheque
Drawee Bank and Branch
Payment Details
Transaction/DD/Cheque No.
2 of 4
Date
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
B. Basic Description of Business
(Not more than 250 words)
Nature of the business, products and/or services, Project, location(s), major
markets (local, regional, national, or international) and principal customer types
(consumers, other businesses, government) etc.
3 of 4
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
C. Judging Criteria
(please address each of the judging criteria as given for each award category. You
may use additional sheet/s if required)
Also, please submit the relevant documents in support of your answers (not
exceeding 5 A4 Pages)
4 of 4
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
Nomination Form
for
Individual Nomination
A. Contact Information
The Award Category
Name of the Applicant
Organisation
Designation
Address
Contact Number
Telephone
Mob.
Email
Years in operation
Nominated By
Self/ Other
If Other, Name of the
Nominator
Position
Organisation
Relation with the Nominee
Contact Number
Telephone
Mob.
Email
1 of 4
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
Individual Nomination
Payment Mode
Online/DD/Cheque
Drawee Bank and Branch
Payment Details
Transaction/DD/Cheque No.
2 of 4
Date
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
Individual Nomination
B. Nominee Profile
(Not more than 250 words)
Please provides us the background data (e.g. education, achievements ) as well as
some narrative information on the history of the Nominee’s Clean ‘n’ Green initiatives,
what makes these initiatives unique, and the Clean ‘n’ Green action plan for the future.
3 of 4
KRDWG
CLEAN ‘n’ GREEN LEADERS AWARDS 2015
(C’n’GLA)
Individual Nomination
B. Judging Criteria
(please address each of the judging criteria as given for the award category. You may use
additional sheet/s if required)
Also, please submit the relevant documents in support of your answers (not
exceeding 3 A4 Pages)
4 of 4
KRDWG