Business Nomination

  * Indicates a Mendatory Field
NOMINEE DETAILS
Title :
  
First Name:
 *		 Last Name:
 *
Email:
 *		 Mobile # :
 *
Date Of Birth:
 Job Title:
  
   
BUSINESS INFORMATION
Business Name:
 Business Logo:
Select Award Category:

Select Sub Category:
Address:
 		 Postcode/Zipcode:
 
Country:
 City:
 
State:
 Telephone(office):
Telephone(Mobile):
 Fax:
 
Website:
 Email:
 
   
BUSINESS DETAIL
What is the legal structure of your organisation?:  
In what year was your business founded?:  
OWNER INFORMATION
Name:
 		 position:
 
Shareholding%:
 
Name:
 		 position:
 
Shareholding%:
 
Name:
 		 position:
 
Shareholding%:
 
Name:
 		 position:
 
Shareholding%:
 
   
What does your company specialise in (products/services)? Who is your target market?:
Who are your main competitors?:
What has been the growth rate of employees since the inception of the business?:
What are the key qualities that have made the business successful? Why is it unique and innovative?:
Have you ever received an industry or community award or personal recognition for outstanding service?:
   
FINANCIAL INFORMATION
Please note that detailed financial information provided will be treated confidentially and used for judging purposes only.
FINANCIAL YEAR DETAIL
Please ensure you complete this section in full.
Annual turnover:
Net profit before tax:
Other revenue - if any:
Total Assets:
Number of employees (Full Time):
Number of employees (Part Time):
Please indicate if these accounts are audited: Yes  No 
   
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