IMC Inclusive Innovation Awards, 2014
Application Form
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IMC Inclusive Innovation Awards, 2014
Guidelines:
1. Fill in the form just as you would on paper, by typing your information in the supplied fields
2. Please fill all information with complete accuracy and to the best of your knowledge. Please provide
most latest data / information.
3. You may use bullet points, diagrams, charts and other data is appropriate.
4. You may save your application to your local drive or directly on a USB key, at any time, without being
connected to the Internet while filling the Form.
5. Do make sure that your email addresses are correct and that your accounts are not over quota; the
IMC Inclusive innovation Cell will be sending you all communications on the email address provided by
you in the Application Form.
6. Please read the Notes to this Form as also IMC Inclusive Innovation Awards, 2014 Brochure for more
information and guidance.
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IMC Inclusive Innovation Awards, 2014
Notes:
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Receipt of entries after last date of receipt specified may be permitted only at the discretion of the Awards Management.
Awards Management will not be responsible for Application Forms that are lost in transit / received late.
If Applicant desires to send the entry in hard copy, that should be submitted to IMC’s Office at Churchgate, Mumbai in an envelope
marked “ IMC Inclusive Innovation Award, 2014”.
The Application Form needs to be completed and signed by the individual submitting the application and in case of application by an
organization, it must be signed by senior officer of the organization (from amongst the MD, CEO, COO, CFO, Chairman, Directors, Partner,
Trustee, etc.).
Incomplete Application Forms received through any mode will disqualify the Applicant from participating in the Awards.
Disqualification of entries received is at the sole discretion of Awards Management, on a case by case basis.
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IMC Inclusive Innovation Awards, 2014
A - Participant / Applicant Details for Company / Organization Applicants (other than
individuals) :
Name of the Company / Organization:
Name of Founder / CEO:
Date of Incorporation:
No. of Employees:
Office / Communication Address:
Contact No. of Founder / CEO:
Email id of Founder / CEO:
Web Address:
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IMC Inclusive Innovation Awards, 2014
A- Participant / Applicant Details for Individual Applicants (other than Company /
Organization):
Name:
Office / Communication Address:
Contact No:
Email id :
Web Address:
Whether associated with any Organisation / NGO /
NPO / Government Organisation – Which one and
the nature of relationship?
No. of Employees:
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IMC Inclusive Innovation Awards, 2014
B- Inclusive Innovation (Product or Service) Details:
Title of Innovative Product / Service
Brief Description of Innovative Product / Service
Date when Innovative Product / Service was
launched
If not launched, expected date of launching ?
Place / State where Innovation is launched / to be
launched
Where is the Product / Service available ,if it is
launched ?
If so, what is the manner in which it is distributed /
how are you reaching out to the potential clients?
How was the development of the Product / Service
funded ?
What are the unique features of the Product /
Service which makes it Inclusive and Innovative ?
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IMC Inclusive Innovation Awards, 2014
C- Market/ Industry / Sector Details :
Which is the specific difficulty / problem
your Product / Service seeking to resolve?
What are the existing solutions available
to address the problem that your Product /
Service is resolving and what are the
inadequacies of those solutions?
How is your Product / Service addressing
the problem and the inadequacies of
existing solutions?
Who are the direct beneficiaries of the
innovation (e.g. teachers, doctors,
students, rural people, disabled people)?
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IMC Inclusive Innovation Awards, 2014
D- Commercial Aspects :
What is the current market size for
your Innovative Product / Service ?
How much is the market share of the
existing products?
Who are the major competitors?
-Within India
- Outside of India
What is the nature of competition
faced by the Innovator – Technology
/ Pricing / Qualtiy ? (Please give
details)
How is product safeguarded from
new entrants in the same segment?
What are the hindrances the
Innovator envisages for new
entrants?
What is the potential of the Product /
Service to face the competition and
increase its market share?
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IMC Inclusive Innovation Awards, 2014
E - Pricing Analysis :
What is the Price Point of the Product
/ Service vis-à-vis existing competing
product? / service?
Who are the target Customers /
Segment?
Does the Product / Service benefit
from change in any existing Economic
/ Commercial / Financial or
Government Policies?
Does the Product / Service pricing
dependent on any Grants / Subsidies
in any form?
Would the Product / Service pricing
be flexible with increase in Production
/ Sales?
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IMC Inclusive Innovation Awards, 2014
F- Marketability Analysis :
What are the salient
features of the
Product / Service that
will garner market /
customer interest
(footfalls or eyeballs)?
Is the Product /
Service adaptable to
different market
segments /
geographies /
economies, changes?
What is the shelf life
of the Product /
Service?
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IMC Inclusive Innovation Awards, 2014
G- Patents / Copyrights :
Will the Product /
Service need
protection from
intellectual property
perspective?
Has the product been
patented –
appropriate steps
taken to safeguard
the Innovation?
If not, is there a plan
for getting the product
patent?
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IMC Inclusive Innovation Awards, 2014
H- Product Design / Brochure / Pictures / Publications :
Please attach
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IMC Inclusive Innovation Awards, 2014
I- Awards received, if any :
Please provide details
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IMC Inclusive Innovation Awards, 2014
J- How the Award Money would help the Innovator / Innovation?
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IMC Inclusive Innovation Awards, 2014
K- How can IMC Innovation Award Cell help the Innovator / Innovation?
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IMC Inclusive Innovation Awards, 2014
Declaration
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I/We confirm that we possess requisite intellectual property rights to the material/data/information submitted as also to the
product/service submitted for consideration of the Award. By making this application, I/we, grant requisite license/permission to IMC to
announce, display, project the applicant/awardee and the product and/or service, as the case may be, and take all steps considered
appropriate by IMC, in their sole discretion.
I/We confirm that the decision of Jury/IMC shall be final and binding in this regard.
I/We have read the Terms and Conditions of the Award and accept the same.
____________________________
(Signature of the Applicant)
* Please sign incase of hard copy submission or provide digital signature
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