Nomination Registration Form

16^th edition Aegis Graham Bell Award for Innovation

India edition

Request you to fill in the details about your innovative initiative which is transforming businesses and lives.

About You and Your Organisation:

Prefix *

First Name *

Last Name *

Name of your Innovative Firm: *

Designation *

Mobile Number with Country Code *

For your Submission Updates *

Web Address *

About Your Innovation:

Share Your Innovation & Innovators Details:

Choose your Innovation Category: *

Your Innovation Title: *

Country *

Company Type (Based on Revenue): *

Lead Innovator Full Name: *

Job Title: *

Mobile Number with Country Code: *

Email Address: *

LinkedIn Link *

Upload Photograph

Billing Information:

Upload Company logo in PNG/JPG

Company Address (Max 500 Characters) *

Billing Address (Max 500 Characters) *

Shipping Address (Max 500 Characters) *

Good & Services Tax (GST) Number: *

Terms & Conditions:

Filing Of Nominations:

All Innovation nominations are to be submitted/filed in legible English language to Aegis Graham Bell Award (AGBA) team. Video with foreign or Indian native languages is accepted, if submitted with the English subtitles. Language translator is permitted during the jury round presentation.
One company may participate/nominate multiple products/Innovations under various categories. However, a single innovation is not acceptable under multiple categories. Separate forms needs to filled for separate categories.
We welcome past edition participants with different/innovation in subsequent editions.
Upon participation in AGBA, you accept that the information shared by you during the presentation, and other relevant information that you have shared about the innovation, innovator and presenter with AGBA, may be used for Promotion by AGBA and publishing in Digital, Print and Live media.
Categories published by AGBA may be clubbed, realigned or consolidated with the mutual consent of esteemed Jury Members from time to time.
In-case any nominee wants any alteration or changes in its submitted nomination, the same can be done by writing to the AGBA team at nominations@bellaward.com , AGBA may help you to replace the earlier submission with the new one, but this needs to be done within 15 days of submission.
The selection of winners or finalists is entirely based on the judgment and assessment of Jury members during the jury rounds conducted over the year.
Nomination processing fees are non-refundable.
Submission of your innovations does not ensure you winning the award.
If the jury identifies the innovation information misleading/wrong information, the submission will be disqualified.
The participants need to follow ethical code of conduct

Commercials:

Level	Company Revenue (INR Crores)	Company Revenue (USD)	Nomination Fees (INR)	Nomination Fees (USD)
Level 1	0 to 1 Cr	0 to 120K	16,000	200
Level 2	1 > to 5 Cr	120K > to 600K	35,000	450
Level 3	5 > to 10 Cr	600K > to 1.2M	45,000	550
Level 4	10 > to 50 Cr	1.2M > to 6M	55,000	750
Level 5	50 > to 100 Cr	6M > to 12M	85,000	1000
Level 6	100 Cr +	12M +	95,000	1200

Once the nomination is submitted the participant needs to pay the nomination processing fees as per the Company Turnover Criterion, along with applicable GST (current GST Rate is 18%).
The payment can be done online or through bank transfer, as mentioned in the Proforma Invoice.
Participants are requested to clear all payments against the Proforma Invoice.

I agree with awards Terms and Conditions

Submit