Gujarat Chamber of Commerce & Industry Shri Ambica Mills‐Gujarat Chamber Bldg., P.B.No.4045, Ashram Road, Ahmedabad‐9 Fax No.079‐26587992/Tele No.079‐26582301/2/3/4 Email:
[email protected]
GCCI MSME Excellence Award 2013‐14
As an initiative to recognize outstanding performance by Micro, Small and Medium enterprises, Gujarat Chamber of Commerce & Industry has decided to confer “MSME Excellence Award” for outstanding performance by MSMEs in the year 2013‐14. The awards would be conferred to the Best MSMEs in each of the below sectors: 1. Textiles (including Technical Textiles, Cotton Ginning & Pressing, Readymade Garments) 2. Chemicals, Dyes and Intermediaries (including Petrochemicals, Paints, Mineral based Products, and Lubricating Oils) 3. Ceramics and Glass 4. Pharmaceuticals (including Bulk Drug & Formulations) 5. Agro Products and Food Processing (including Cold Storage) 6. Engineering and Automobiles (including Foundries, Steel Fabrication and Textile Machineries) 7. Plastic and Rubber Industry 8. Electrical and Electronic Goods 9. IT and ITES (including IT Services, ITES, Hardware, Software, KPO, BPO) 10. Others (including Wooden, Leather, Handicrafts, and all the remaining sectors)
Eligibility for applying for the awards • • • • •
It is not mandatory for the firm to be currently a member of GCCI to be eligible for applying for the awards. The firm should be in continuous production in Gujarat for the last 5 years to qualify for the awards. The award is open for registered MSME Organizations in Gujarat only. The product manufactured by the Organizations should not be socially undesirable or a health hazard. The firm/company should be complying with the statutory laws of the State and the Country.
The awardees would receive a prestigious award along with a Citation from GCCI. Last Date for receiving the applications is 31st December, 2014. NOTE: For further details regarding the awards and for obtaining the application forms, you are requested to contact GCCI [Email:
[email protected]]. The application form is attached herewith (also available on our Website: www.gujaratchamber.org) which can be filled up and submitted at the GCCI Office.
GCCI MSME Awards 2013-14 Application Form 1) Enterprise Category Micro Enterprise (Original Investment in Plant & Machinery not exceeding 25 lakhs) Small Enterprise (Original Investment in Plant & Machinery between 25 lakhs and 5 crores) Medium Enterprise (Original Investment in Plant & Machinery between 5 crores and 10 crores)
2) Basic Information Name of the Company
Name of the CEO/MD/Proprietor/Head/Partner of the Company
Email ID___________________________________Mobile No._________________________ Entrepreneurs’ Memorandum [EM‐II] No.
Address of the Factory Unit
Contact Details of the Company
Phone
Fax
Website
Email
Mobile No.
Address
Year of Establishment:
Your company is: Private Ltd.
Cooperative
Public Ltd.
Proprietorship
Partnership
HUF
LLP Number of Employees (2013‐14)
a. Permanent: __________________________________ b. Contractual: __________________________________
Industry Segment:
Textiles (including Technical Textiles, Cotton Ginning & Pressing, Readymade Garments) Chemicals, Dyes and Intermediaries (including Petrochemicals, Paints, Mineral based Products, and Lubricating Oils) Ceramics and Glass Pharmaceuticals (including Bulk Drug & Formulations) Agro Products and Food Processing (including Cold Storage) Engineering and Automobiles (including Foundries, Steel Fabrication and Textile Machineries) Plastic and Rubber Industry Electrical and Electronic Goods IT and ITES (including IT Services ITES, Hardware, Software, KPO, BPO) Others (including Wooden, Leather, Handicrafts, and all the remaining sectors)
If Others, Please specify your segment: ______________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________
Number of years in operation: Less than 5
8 to 10
5 to 7
More than 10
Is your company rated by any Rating Agency? Yes
No
If yes in the above Question, please specify
a) Rating: __________________________________ b) Rating Agency: _____________________________ 3) CSR and Innovation Initiatives (As applicable) What is your spend on CSR Initiatives as a %age of turnover? 0 % 1% 3%
2% More than 3%
What is your spend on R&D Initiatives as a %age of turnover?
0 %
1%
2%
3%
More than 3% Have you taken steps for Pollution Control? (If yes, please enclose documentary proof)
Yes
No
Have you taken any measures for Energy Conservation? (If yes, please enclose documentary proof)
Yes
No
Have you taken adequate Safety measures? (If yes, please enclose documentary proof) Yes No
Have you taken any measures for Environment Conservation/ Waste Management/ Afforestation/ Greenhouse Mitigation? (If yes, please enclose documentary proof)
Yes
No
4) Standardization & Quality Control (As Applicable) Accreditations obtained for Standardization & Quality Control: (If yes, please enclose documentary proof) ISO‐9000/ISO‐14000/18000/22000 Certification/ ACCP/GMP/Equivalent Certificate BIS Mark/Equivalent Products conform to IS or any other National/International/User Standards Any other Quality Certification
5) Financial Performance Details of Investment (Rs. In Lakhs)
2009‐10
2010‐11 2011‐12
2012‐13
2013‐14
Land
ii. Building
iii. Plant & Machinery (original)
iv. CSR and Innovation
v. R&D Initiatives
vi. Pollution Control
vii. Energy Conservation
viii. Others
Total Gross Block (i+ii+iii+iv+v+vi+vii+viii)
Turnover (Rs. In Lakhs)
Total Turnover (i+ii) (Rs. In Lakhs)
Profit Before Tax
Net Worth
Total Production Quantity
Gross Block i.
Domestic Turnover (Rs. In Lakhs) Export Turnover (Rs. In Lakhs)
6) Bankers Details Name of the Banker 1)
2)
3)
4)
Address of the Banker
7) Any other important Achievement/ Award: (Please enclose documentary proof)
Declaration:
•
I/We shall be abiding by the decision of the Committee for granting of Award.
•
I/We undertake to refund the cash price, return the trophy and certificate, if awarded to me, in case it is ever found that the information furnished above was incorrect. Further, I/We may also be liable for any action under the law of land for any false declaration.
•
I/We hereby affirm and declare that the information furnished in this form is authentic and correct.
•
I/We hereby declare that the information, statement and other papers given herein are true and correct to the best of my knowledge and belief.
•
I/We also declare that I/We am duly authorized to sign an application and also to submit details and documents.
Note: •
All Financial Statements to be submitted by the Enterprise must be signed by the Authorized Signatory of the Enterprise and certified by the Auditor/Charted Accountant.
Date:
Signature of the Applicant
Or Authorized Signatory
Place:
With Name & Designation
Seal of the Unit
Check list of Annexure Check list of documents/write‐ups to be submitted along with prescribed Application Form with the documentary evidence for the awards to best MSMEs. Please tick wherever applicable
Sr. No. Particulars 1
Copy of EM Part‐ II.
2
Copy of Constitution of Enterprise.
CA Certified Details of Annual Production Capacity, Investment, Production, Sales, Export‐Profit and Employment of Last five years. Copy of valid GPCB consent or copy of circular, if applicable.
3 4
5
CA Certified Audited Annual Account Financial Statements (Balance Sheet & Profit & Loss Account) of Last five years.
6
Details of State/National Level Award received earlier.
7
Details of Important Achievements.
8
Details of Environment Conservation.
9
Details of Safety Measures.
10
Details of Energy Conservation.
11
Details of Quality Certifications: ISO/BIS etc.
12
Whether the Entrepreneur belongs to SC/ST, If Yes attach certificate of Competent Authority.
13
Justification/ Write up ‐ For why the Unit should be awarded.
Signature of Applicant Or Authorized Signatory With Name & Designation
