Questionnaire

							INTERNATIONAL TRADE AWARDS

No min a tio n A p plic a tio n F o rm
(Please read instructions carefully)

1.   Legal Name of the Applicant:               __________________________________________________
2.   Date of Incorporation/Establishment:       __________________________________________________
3.   Address for correspondence:

City:                                                     Pin:
Telephone No:                                             Fax No:
Web site address:                                         E-mail address:

4.   Contact Person for Correspondence:

5. Constitution
Public Limited Company                 Private Limited                      Sole Proprietorship
Partnership                            Other (specify):

6. Are you a manufacturer or a Trade House? ( Please Tick only one)
Manufacturer                                     Trade House

7. Category Applied for (Please tick only one):
Category                                    Eligibility Criteria
Outstanding Exporter of the Year            Exporters with three or more years’ track record
Emerging Exporter                           Exporters with one to three years’ of track record
International Trade House of the Year       International Trade Houses with three or more
                                            years’ track record
Most Value Creating Importer of the Year    Any company which is a substantial importer

8.   Which Industry best describes your current business: ( based on largest product category sold )
1    Engineering Goods ( including machinery & instruments, transport equipment, iron & steel
     & other metal manufacturers, electronic goods, auto & auto ancillaries)
2    Textiles including ready made garments & leather
3    Chemicals & Related products (Including basic chemicals, pharmaceuticals, cosmetics,
     plastics & linoleum, rubber, glass , residual chemicals and allied products)
4    Agriculture, food, FMCG and allied products
5    Gems & Jewellery
6    IT, IT enabled services, communication, infocomm
7    Infrastructure & utilities including power, oil , gas and telecom, construction
8    Others (please specify)

9.   Industry Sub segment (For e.g: under “Engineering” , sub segment could be machinery & instrument)
10. Major Products sold domestically and value (Rs.Lakhs)
                            FY2006       FY2007 so far (mention
                                         period – Start MM/YY
                                         to End MM/YY)
1
2

11. Major Products exported and value (Rs. lakhs only):
                             FY2006 FY2007 so far (mention period –
                                       Start MM/YY to End MM/YY)
1
2

12. Major Products/Raw Materials Bought domestically and value (Rs.Lakhs)
                           FY2006 FY2007 so far (mention period –
                                      Start MM/YY to End MM/YY)
1
2

13. Major Products/Raw Materials Imported and value (Rs. lakhs only):
                           FY2006 FY2007 so far (mention period –
                                      Start MM/YY to End MM/YY)
1
2



14. Financial Information :
Please provide the following financial information in Rs. Lakhs only

Rs Lakhs only                                                          FY2006 FY2007 so far (mention
                                                                              period – Start MM/YY to
                                                                              End MM/YY)
Total Income ( net of excise)
Export Income
Value of Export Incentives
Value of imported Raw Material
Total Raw Material Costs
Profit after tax
Tangible Networth ( Equity Capital +Reserves)
Total debt
Deferred Tax Liability

Declaration: This is to certify that the above information is correct and true to the best of my knowledge.

Date:

Authorised Signatory