Rane Pioneer of Change Award Registration

If you require any further information please write to us in rpoc@ranegroup.com or
contact Mahalakshmi Venkatesh in +91 44 42292426
Email address *
Nominee Details
(For team nominations please provide one person's name as a contact)
First Name *
Last Name *
Date of Birth *
MM
/
DD
/
YYYY
Phone *
Organization Name
Organization Address
Website (if applicable)
Organization's PAN (IT PAN)
Registration Documents
(Certificate of registration, FCRA registration, most recent audited financial statements)
Nominee / Organisation Information
(Brief Biography of Nominee/ Background of Organisation - maximum 200 words)
People Involved
(Who are the key people involved and their roles)
Include Nominee Resume
(Also the resume of the main people involved in the project)
Area of work *
Location of work *
Number of Years of Existence *
Organization Vision and Mission
Problem and Solution *
(Please elaborate on the specific problem the organization intend to solve)
Innovation
(Describe what is innovative about the work)
Impact *
(Impact of the work in surrounded areas / community)
Organizational Pitch
(Please provide a word(< 200) summary stating why the nominated organization is the strong contender to win the award)
Award Money Usage *
(How will the award money be used to achieve the desired outcome)
Other Awards Received
(Award Name & Prize)
Supporting Documents
(News Clippings, Articles, Video, Audio, if any)
Any other information that is relevant
Details of the Nominator
(Applicable if the nomination is by beneficiaries, well wishers and other stakeholders)
Relation of the nominator with the nominee and the organization
How did you come to know about this award
If you require any further information please write to us in rpoc@ranegroup.com or contact Mahalakshmi Venkatesh in +91 44 42292426
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