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Nomination Form (All Input Fields Are Mandatory)

NOTE : Nomination Processing Fee – INR 15,000 per Entry/Category (One Person/Entity can nominate in multiple categories).

Section 1: Participant Details

Company Details

Management Information

Leadership Details Prefix Full Name Mobile Number Email ID

Company Financials- Brief (Audited, Consolidated) INR Crs

Particulars FY 16-17 FY 17-18 FY 18-19 FY 19-20 FY 20-21

Chief Financial Officer/ Head Finance Details

Note 1: TNW = Networth - Revaluation reserve - Good will

Note 2: Current Liabilities + Provisions

Note 3: Current Assets including inventory + debtor + cash & bank + other current assets related to operation. Not including Loans & advances

Note 4: Debtor (days) + Inventory (days) - Payable (days)

Note 5: Average of daily value for the year

Note 6: Average of daily value for the year

Note 7: Average book value of beginning and end of year

Capital Market Details

M & A, Divestures, Stake sale, Equity Infusion, IPO, Strategic Partnerships, Capex Done (in the past 3 years)

  Event Specifics Rationale
1
2
3

DETAILS OF FINANCE DEPARTMENT

Organogram of the Finance function/dept.
(Please upload pdf if available): Yes No

Section 2: Nomination

Nominating self Nominating others

Section 3: Questionnaire

Please enter factual and specific information for the jury to evaluate. Please provide up to 3 supporting documents wherever applicable, to support your entry details.
Please answer below questions in 5 bullet points (numbered 1 to 5). Word Limit for each answer is 600 characters with spaces.
Please answer the questions in context of the award nomination category applied for

Section 4: Additional Details

5. Please upload up to 3 documents to support your entry details
Yes No

Note: In case of equity raising, please mention equity raised (as a proportion of Paid up equity shares before the issue), listed price and average of 6 month price from the month preceding the month of opening of the issue. Please attach additional sheets in case of space constraints.

Section 5: Declaration

 The information provided herein is true and complete to the best of our knowledge. Some of the information provided in the document could be sensitive and shall remain confidential unless we agree to release it. We understand that the information provided in this document will be used by the organizers and the jury in deciding the awards and we consent to the use of this information for such a purpose. We further agree that this information may be used for further research, educational or any other purpose as long as the company details or not divulged to any person other than the organizers. If I am shortlisted / selected for receiving the award, I hereby authorize the use, in connection with the “ Best CFO & Finance Strategy Summit & Awards” program, of my name, my company’s (or organization’s) name, non-financial information, photographs, video or audio recordings of me from whatever source. I agree that no compensation shall be due to me or my company for such usage.




SECTION 1: PARTICIPANTS DETAILS

Company Details

Management Information

Leadership Details Prefix Full Name Mobile Number Email ID

Company Financials- Brief (Audited, Consolidated) INR Crs

Particulars FY 16-17 FY 17-18 FY 18-19 FY 19-20 FY 20-21

Chief Financial Officer/ Head Finance Details

Note 1: TNW = Networth - Revaluation reserve - Good will

Note 2: Current Liabilities + Provisions

Note 3: Current Assets including inventory + debtor + cash & bank + other current assets related to operation. Not including Loans & advances

Note 4: Debtor (days) + Inventory (days) - Payable (days)

Note 5: Average of daily value for the year

Note 6: Average of daily value for the year

Note 7: Average book value of beginning and end of year

Capital Market Details

M & A, Divestures, Stake sale, Equity Infusion, IPO, Strategic Partnerships, Capex Done (in the past 3 years)

  Event Specifics Rationale
1
2
3

DETAILS OF FINANCE DEPARTMENT

Organogram of the Finance function/dept.
(Please upload pdf if available): Yes No

Section 2: Questionnaire

Please enter factual and specific information for the jury to evaluate. Please provide up to 3 supporting documents wherever applicable, to support your entry details.
Please answer below questions in 5 bullet points (numbered 1 to 5). Word Limit for each answer is 600 characters with spaces.
Please answer the questions in context of the award nomination category applied for

Note: In case of equity raising, please mention equity raised (as a proportion of Paid up equity shares before the issue), listed price and average of 6 month price from the month preceding the month of opening of the issue. Please attach additional sheets in case of space constraints.

Section 3: Additional Details

5. Please upload up to 3 documents to support your entry details
Yes No

Note: In case of equity raising, please mention equity raised (as a proportion of Paid up equity shares before the issue), listed price and average of 6 month price from the month preceding the month of opening of the issue. Please attach additional sheets in case of space constraints.

Section 4: Declaration

 I /We agree, on behalf of my/ our organization authorize Businessworld to use the content submitted as part of my/our entry, in whole or in part and use and display such entry, which shall include trade publications, press releases, electronic posting to the Awards website, electronic hyperlinks to the website of the participant, and any display format selected by Businessworld during the awards ceremony or at a later point in time, for a period of five years.I /We agree, on behalf of my/ our organisation authorize Businessworld to use the content submitted as part of my/our entry, in whole or in part and use and display such entry, which shall include trade publications, press releases, electronic posting to the Awards website, electronic hyperlinks to the website of the participant, and any display format selected by Businessworld during the awards ceremony or at a later point in time, for a period of five years.




SECTION 1: PARTICIPANTS DETAILS

Company Details

Public Company Private Company Other

Management Information

Leadership Details Prefix Full Name Mobile Number Email ID

DETAILS OF FINANCE DEPARTMENT

Organogram of the Finance function/dept.
(Please mail along with the form, if available): Yes No

Section 2: Questionnaire

Please enter factual and specific information for the jury to evaluate. Please provide up to 3 supporting documents wherever applicable, to support your entry details.
Please answer below questions in 5 bullet points (numbered 1 to 5). Word Limit for each answer is 600 characters with spaces.
Please answer the questions in context of the award nomination category applied for

Section 3: Additional Details

5. Please upload up to 3 documents to support your entry details
Yes No

Note: In case of equity raising, please mention equity raised (as a proportion of Paid up equity shares before the issue), listed price and average of 6 month price from the month preceding the month of opening of the issue. Please attach additional sheets in case of space constraints.

Section 4: Declaration

 The information provided herein is true and complete to the best of our knowledge. Some of the information provided in the document could be sensitive and shall remain confidential unless we agree to release it. We understand that the information provided in this document will be used by the organizers and the jury in deciding the awards and we consent to the use of this information for such a purpose. We further agree that this information may be used for further research, educational or any other purpose as long as the company details or not divulged to any person other than the organizers. If I am shortlisted / selected for receiving the award, I hereby authorize the use, in connection with the “ Best CFO & Finance Strategy Summit & Awards” program, of my name, my company’s (or organization’s) name, non-financial information, photographs, video or audio recordings of me from whatever source. I agree that no compensation shall be due to me or my company for such usage.




Section 1: Participant Details

Company Details

Management Information

Leadership Details Prefix Full Name Mobile Number Email ID

Chief Financial Officer/ Head Finance Details

Turnaround Financial Project in past 1 year

  Project Specifics Rationale
1
2
3

DETAILS OF FINANCE DEPARTMENT

Organogram of the Finance function/dept.
(Please upload pdf if available): Yes No

Section 2: Nomination

Nominating self Nominating others

Section 3: Questionnaire

Please enter factual and specific information for the jury to evaluate. Please provide up to 3 supporting documents wherever applicable, to support your entry details.
Please answer below questions in 5 bullet points (numbered 1 to 5). Word Limit for each answer is 600 characters with spaces.
Please answer the questions in context of the award nomination category applied for

Section 4: Additional Details

5. Please upload up to 3 documents to support your entry details
Yes No

Note: In case of equity raising, please mention equity raised (as a proportion of Paid up equity shares before the issue), listed price and average of 6 month price from the month preceding the month of opening of the issue. Please attach additional sheets in case of space constraints.

Section 5: Declaration

 The information provided herein is true and complete to the best of our knowledge. Some of the information provided in the document could be sensitive and shall remain confidential unless we agree to release it. We understand that the information provided in this document will be used by the organizers and the jury in deciding the awards and we consent to the use of this information for such a purpose. We further agree that this information may be used for further research, educational or any other purpose as long as the company details or not divulged to any person other than the organizers. If I am shortlisted / selected for receiving the award, I hereby authorize the use, in connection with the “ Best CFO & Finance Strategy Summit & Awards” program, of my name, my company’s (or organization’s) name, non-financial information, photographs, video or audio recordings of me from whatever source. I agree that no compensation shall be due to me or my company for such usage.