9th CavinKare-MMA Chinnikrishnan Innovation Awards - 2020 “Innovations” Nomination/Self Nomination Name of the Company / Firm: Mobile No.: Landline No.: E-mail: Name of the Nominee: Nature of Organization: State Whether Nature of Business: Private Limited Company Partnership Other Name of Authorized Representative of Nominee: Registered Address: Communication Address (if different from Registered Address): 2020 (Please attach a copy of PAN Card and any one of these as Identity / Address proof: Aadhaar Card / Voter ID) * If in case of partnership / co-ownership, please specify names of all individuals