Name of the NomineeName of the Nominee -ICAI Membership -ICAI Membership NumberNumber

Name of the NomineeName of the Nominee -ICAI Membership -ICAI Membership NumberNumber

Category and Sub–Category of the Category and Sub–Category of the Awards for which applying Awards for which applying

Category and Sub–Category of the Category and Sub–Category of the Awards for which applying Awards for which applying

Present Designation – Name of the organization

• Turnover (Sales) of the Company in Turnover (Sales) of the Company in Rupees:Rupees:

• Net worth of the Company:Net worth of the Company:

• Market Capitalization of the Market Capitalization of the Organization:Organization:

Note: Please give details of the company where the person is located. For CA Business Leader or CFO where person is handling multiple companies within a group, please give composite details of all companies under the domain of nominee. Details of Individual companies may be given separately. The applicants of CA Professional Achiever should give details only of the company where they are working.

KEY ROLE IN THE ORGANIZATIONKEY ROLE IN THE ORGANIZATION

MAJOR ACHIEVEMENTSMAJOR ACHIEVEMENTS

• The achievements can be maximum of The achievements can be maximum of 2 slides 2 slides

MAJOR ACHIEVEMENTSMAJOR ACHIEVEMENTS

• The achievements can be maximum of The achievements can be maximum of 2 slides in bullet points 2 slides in bullet points

Note- Please specify exact role whether the achievement is as a member of team or team leader or in any other capacity.