Please Note: This is only a Sample Application Form. This form cannot be used to submit applications for the MIF Awards 2018. All applications need to be submitted via the online application form which is hosted on www.maricoinnovationfoundation.org only. Entries sent via this offline application will be deemed invalid and will NOT BE CONSIDERED as valid applications for the Awards. The Foundation is not responsible for any such applications submitted.
Name of Organization
Broad Industry of Organization
Are you a for profit or a not for-profit organization?
FY 2015, 2016 & 2017 sales/donation Only Numbers
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
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
For any clarifications or queries please reach out to: mif@marico.com
How different and one-of-its-kind is the innovation (Choose 1 of the below)
New to the world?
New to India?
New to a your or a certain industry / area of operations
Unique in any other way
*Please specify if “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).
If your innovation IS ‘new to the world’, describe briefly the process of conceptualization and implementation
What are the key differentiators over existing products?
For any clarifications or queries please reach out to: mif@marico.com
Social Category: What are the areas in which your organisation is creating an impact? Please specify all.
Livelihoods
Rural Electrification
Alternative Energy
Water / Sanitation
Community
Agriculture
Healthcare
Other *Please specify if “Other”
Business Category: What kind of impact has the innovation had on your business / organisation?
Revenue impact
Cost reduction / efficiency
Increase in Margins
Increase in Market Share
Other *Please specify if “Other”
Start-up Category: What kind of impact has the innovation had on your business / organisation?
Number of consumers
Revenue impact
Profit after tax
Creating a new market
Access to capital / raising funds
Other *Please specify if “Other”
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.
Economic Impact (Quantitative):
Social Impact:
Environmental Impact:
Qualitative Impact:
Has the impact been verified by an external agency?
How do you or the external agency measure the impact?
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
Applicability & potential scalability:
Have you scaled up the innovation in your operations over the years?
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.
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
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?
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.
For any clarifications or queries please reach out to: mif@marico.com
