11th edition
CII Connect Awards 2018

Nomination Form

Firm Information

All fields are required

Name of your startup

Full name of the primary contact person

Email Id

Phone Number


Date of Existence

Current turn Over (if any)


Product / Services Information

All fields are required

AutomobilesBFSIConsumer DurablesSteel & PowerRetailTelecom
Pharmacy & HealthcareOil & GasIt & ITeSHospitalityInfrastructureOthers
Manufacturing and EngineeringMedia & EntertainmentWellnessConsultingAerospace & Defense

Number of employees in your organization


Brief background of Founder(s)

Describe your product / services

Uniqueness of your product / services

Major Competitor

Add additional information you would like to provide

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