Name of Organization

Broad Industry of Organization

Are you a for profit or a not for-profit organization?

FY 2015, 2016 & 2017 sales/donation in INR Lacs

Month and year of registration of the organization

Postal address

Headquarter location

Website link

Name of the founder and/or the director/s

Directors/Founder - E-mail

Phone Number

Which category are you applying for?


Contact Details

Name of primary contact person

Designation

Email address

Contact number

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For any clarifications or queries please reach out to: mif@marico.com

Specify the kind(s) of innovation (Choose one or more)

Product: Creation of a new product or technology with a tangible impact

Process: Development of a new method to improve lives of the people

Service: Delivering a new service or an existing service in an unique way

Business or operating model: Evolution or reinvention of a business/operations through realignment of its resources and processes

Describe the innovation briefly (History, purpose, main idea, key processes involved)

Year of conceptualization of the idea

Year of implementation of the innovation

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How different and one-of-its-kind is the innovation (Choose 1 of the below)

New to the world?

New to India?

New to an Industry

Unique in any other way

Is the Innovation a substantial improvement on an existing idea / product / service?

Yes

No

If your innovation is NOT ‘new to the world’

Describe what was the original product (or service or process) on which your Innovation is based. Include website links and like-minded organisation names.

What key variations / improvements have you implemented?


What are the big advantages over the alternatives / original product (or service or process).

Is your innovation patented / applied for patents?

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What is the extent of impact in each of the areas chosen in above question? Please indicate the latest estimated impact (for eg. impact till 31st March 2017).

*Please attach relevant documents here that will be proof of your impact.
Please upload pdf or image files only. (upto 5 files with max size upto 5MB each)

Economic Impact:

Social Impact:

Environmental Impact:

Qualitative Impact:

Has the impact been verified by an external agency?

Yes

No

What is the geographical extent of the impact currently generated?

Please specify the geography (Country / States / Cities).

Give one big success story through this innovation. You can even attach a pdf here.

Attachment
Please upload pdf or image files only. (upto 5 files with max size upto 5MB each)


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Applicability & potential scalability:

Have you scaled up the innovation in your operations over the years?

Yes

No

Give validation and examples of how end recipients / consumers have been engaged and how the offering has been delivered and made available to them.

Please list 2-3 key challenges that you may have faced through implementing and scaling up the impact of your innovation and a brief summary of plan or action taken to deal with these challenges.

Are your operations around the innovation profitable / self-sustainable?
(Example: Does your innovation need infusion of capital / donations regularly to be operational? If yes it is ‘NOT self-sustainable’)
(Example: Does your innovation generate enough revenue to pay for all operational costs? If yes it is ‘self-sustainable’)

Yes

No

Describe how your innovation is profitable / self-sustainable today? If it is not, how do you plan to make it profitable / self-sustainable in the future?

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For any clarifications or queries please reach out to: mif@marico.com

Other (Non-Evaluative)

How did you hear about the award? (Choose one or more)

Print Media (Newspapers / Magazines)

Electronic Media

Social Media

Email from Marico Innovation Foundation

Phone Call

Website / Search Engine

Family / Friend

Business Associate / Networks

Please specify any previous awards or nominations won by the innovation

What prompted you to apply for the awards? (Choose one or more)

To receive national recognition and publicity through print and social media

To obtain access to venture capital funding

To network with innovative organizations

To network with corporate and social pre-eminent leaders associated with the Awards

Others

Please describe if the innovation was carried out internally or in partnership with other organization/institution?

Have you applied for MIF awards before?

Yes

No

Additional Information

Please attach any additional document /evidence to substantiate the innovation which may provide other information that has not been covered in the form.
Please upload pdf or image files only. (upto 5 files with max size upto 5MB each)

Please note: You will not be able to edit the details filled in this tab once you press "Next".

For any clarifications or queries please reach out to: mif@marico.com