F O R M
A P P L I C A T I O N

Business Excellence

Maturity Assessment Programme- 2018

1.0 * Name of Applicant Organisation

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1.1 *Address

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______

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2.0 *Name of the Contact Person

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2.1 *Designation

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2.2 Telephone *Mobile

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2.4 *Email

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2.5 Contact Address (if different from above)

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______

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3.0 *Name of the Highest Ranking Official

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3.1 *Designation

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3.2 *Telephone Mobile

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3.4 *Email

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4.0 *Products and Services offered

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41 *Applying as a □ Whole Organization □ As SBU Units

Details of SBUs/ Plants(As applicable)
Number of SBUs /Plants / 1 / 2 / 3 / 4
Location
Products & Services
Number of Employees
Turnover in (INR in Crs) recently concluded financial year
SBU Contact details:
Name:
Designation:
Contact no:
Email:

*Mandatory (to be filled)

Business Excellence

Maturity Assessment Programme- 2018

4.2 *Total Number of Employees

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4.3 *Annual Sales / Revenue (in Rs. Cr.)

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4.0 *Are you a member of CII: Yes / No

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Application for (Tick the category of application):

□ Phase 1: Initiating Excellence

□ Phase 2: Internalizing Excellence

□ Category 1

□ Category 2

□ Phase 3: Recognizing Excellence

(For more details refer CII-EXIM Bank Award for Business Excellence 2018 Brochure)

□ Phase 4: Exemplar of Excellence (mention the year of recognition) -

Prize Winning year…………/ Award Winning year………….

I agree to share information on the Criterion requirements relating to the processes and results of my Organisation with the Assessor / Assessors, to enable the Assessment.

I agree, on behalf of my organisation, to abide by the rules of the Business Excellence Maturity Assessment Programme 2018 and accept that the decision of CII as final. I confirm that my organisation is eligible to take part in this programme and that all information in this application form is correct. I accept the timetable, fee and cost structure.

Please find enclosed Cheque/DD/NEFT Details…………………………..dated………………….

for Rs………………………(Rupees…………………………………………..) drawn in favour of

‘Confederation of Indian Industry’, payable at Bengaluru

Date ______

(Signature of Highest Ranking Official & Company Seal)

Address for correspondence:

Confederation of Indian Industry

CII Institute of Quality – The K N Shenoy Centre

(Sponsored by ABB Ltd.)

Near Bharat Nagara, 2nd Stage,

Viswaneedham Post, Bangalore - 560 091

Tel: 080 - 2328 6085 / 9391 / 7690

Fax: 080 - 2328 9388 / 2358 0314

Web: www.cii-iq.in