PMFAI-SML Annual Agchem Awards November 2019, Delhi, India

Nomination form for Award

Kindly fill in the form show below to submit your details for the PMFAI-SML Annual Agchem Award

Name of the Award:

Name of the Organization & Year of Establishment

Type of Organization:

Small

Medium

Large

Address

Telephone no:

Fax No.

Email Address:*

Website Address:

Contact Detail of applicant:

Company Turnover (last Three Years):

Exports Turnover (last Three Years) Applicable for Export award:

Names of Exporting Country Applicable for Export award:

Efforts made to Increase exports.Applicable for Export award:

Member of any Association/trade body:

Major Achievement & Accolades Received if any :

Summary Justifying for the Award not more than 500 words:

I (Name in Full), (Designation) hereby confirm having read & understood the Rules & Regulations by the PMFAI for the Awards, and will abide to the same. I also confirm the information provided by me in the Application form is correct to the best of my knowledge.

Date

I AgreeRules and Regulations

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