2013 PART A : AWARD CATEGORY Export of Business & Professional Services Sector (Please refer the attached “ guidelines to applicants" note no 8 & 8 A for further details ) Mark Special Awards you wish to apply for: The Best Sri Lankan Brand Exporter The Best Value Added Exporter The Most Innovative Exporters The Best Woman Exporter The Most Outstanding SME Exporter The Best Performing Exporter in Emerging markets Those who apply for Special Awards should answer PART - G of the application comprehensively B : CORPORATE INFORMATION 1 Name of Organization 2 Address 3 Telephone / Fax 4 E - mail address 5 Website 6 Year of establishment 7 Exports commenced in (Year) 8 Membership in NCE 9 Year obtained membership in NCE 10 Legal Status of the business 11 Business Registration Number 12 TIN Number 13 Nature of Enterprise 14 15 16 Member Non Member Proprietorship Partnership Company Other Holding Co Branch Subsidiary Other Local Foreign Other Companies within the group that have applied for awards. Ownership (%) Bankers and Branches. Attach enclosed 2013 B : CORPORATE INFORMATION 17 Name of Proprietor or Names of Directors / Partners 18 Name of the CEO 19 Name of Contact Person Contact details 20 Brief description of the business PART C : PERFORMANCE EVALUATION Financial Year either 1st April 2013 to 31st March 2014 or 1st January 2013 to 31st December 2013 21 Financial Information (As per Accounts submitted) a. Stated Capital / Capital A/c b. Reserves / Current Accounts c. Non Current Liabilities Capital Employed (a+b+c) d. Current Assets e Current Liabilities Net Current Assets (d-e) g.Taxation (Companies) h. Export value of Services i. Local Sales of Services Sales as per Accounts (h+i) This Year Previous Year Year Before Rs. Rs. Previous Year Rs. 2013 PART D : EXPORT PERFORMANCE Financial Year either 1st April 2013 to 31st March 2014 or 1st January 2013 to 31st December 2013 22 Value of Services Exports in Rupees This Year Rs. Previous Year Rs. Year Before Previous Year Rs. 23 Contribution of each service to Export Value (in Rupees) This Year Rs. Previous Year Rs. Year Before Previous Year Rs. Ser 1 Ser 2 Ser 3 Ser 4 Ser 5 24 Contribution of each Service as a Percentage (%) of export value Ser 1 Ser 2 Ser 3 Ser 4 Ser 5 25 Export - value of Services by Principal Markets (5 best Markets) Ser 1 Ser 2 Ser 3 Ser 4 Ser 5 26 Market 1 Market 2 Market 3 Market 4 26 A Ser 1 Ser 2 Ser 3 Ser 4 N.B.For Foreign Employment Agencies (Q. 21 - 25): The Export Value includes foreign exchange earnings in respect of payments / commissions received from principals, supported by documentry evidence. Please analyse export income covering the different categories of professionals , and skilled workers found employment. 2013 PART D : FOEIGN EXCHANGE EARNINGS AND VALUE ADDITION 27 Financial Year either 1st April 2013 to 31st March 2014 or 1st January 2013 to 31st December 2013 Total (Rs.) Export Related FOB Value (Rs.) Turnover Directly imported materials used Locally purchased imported materials used Local raw-materials used Total value of materials used Cost of Employment including EPF, ETF, Bonuses etc. Expenses excluding cost of employment Total expenses Part E: EFFECTIVE MANAGEMENT EFFORTS 28 Factors which have contributed to success & achievements Elaborate on the factors which are relevant to your organisation (out of those listed below) on a separate sheet / sheets and annex as continuation of PART E , to the application. A Product / Process / Market Innovations B Research and Development C Entry in to New Markets D Productivity Improvements E New Production Facilities F Environmental Protection G Cleaner Production and Waste Management H HR Development I Corporate Social Responsibility J Occupational Safety and Health Practices K L M Awards won during the two preceding years 2013 29 Implementation of Management Systems, particularly Quality Management Outline Egs ISO, HACCP, SLS Mark , OHSAS , GMP , GAP etc. Type of Management System Year Obtained Copy / ies of Whether Renewed for 2013 attached / not attached PART F : BRANDING (PRODUCT / COMPANY) Applicable to those who export under registered brands 30. a Brand Performance FOB Value Rs. Name of Brand Country / Countries of Export This Year Previous Year Number of brand related new markets entered during the year images of products and Licence) to prove brand ownership and to establish relevance. 30. b Brand Development Strategy (State in brief) 30. c Brand Promotional Activities (Support with Documentry / Electronic evidence) 2013 PART G : JUSTIFICATION FOR SPECIAL AWARDS 1 This part is applicable only to those who apply for special awards -Best Sri Lankan Brand Exporter, Best Value Added Exporter, Most Innovative Exporters , Best Woman Exporter, Most Outstanding SME Exporter, and Best Performing Exporter in Emerging Markets. 2 Please justify your claim for an award under this category in the space provided below. 2013 PART H: AUTHENTICATION The above information submitted by us is a factual statement of our export performance and related information. We hereby accept the rules and regulations of the NCE Export Awards Scheme Name of Signatory and Designation To be signed by a Director / Partner or Proprietor over the Rubber stamp Date We certify the correctness of information provided in answer to Question 21 of this application Name Designation Signature over the Rubber Stamp Date Important Please note that you should submit the application together with the check list duly completed.