Dr. R. J. Rathi Award

Green Initiative Application

Complete all sections below to submit your nomination

indicates a required field

Organization & Contact

Company details and primary contact information

Name of the Company (in capital letters)

Email to send acknowledgement

Landline Number

Please provide valid Landline Number.

Name of the Concerned Person (in capital letters)

Fax No.(Optional)

Please enter valid Fax No.

Mobile Number(Optional)

Please provide valid Mobile Number.

Address & Location

Registered company address and geo location

Company Address
Address

City

Pincode

Geo Location (please paste your company's google map location)

Organization Profile

Establishment year and leadership details

Year of Establishment

Name of Chief of the Organization(Optional)

Please provide valid Name of Chief of the Organization.

Designation of Chief of the Organization(Optional)

Please provide valid Designation of Chief of the Organization.

Green Initiative Nomination

Describe your environmental contributions and supporting evidence

Brief description of the green initiatives undertaken by the Company which includes any activity which has helped to reduce pollution, contribution towards green environment, or any other activity which would help to protect to promote a green environment including initiatives to reduce global warming (Please provide maximum information, data in order to establish your claims):

Please describe give information.

Attahced File (optional)

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Dr. R. J. Rathi Award

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