MANTHAN AWARD NOMINATION FORM

*

NOMINATION FORM for 2011


Send the completed form to manthanaward@defindia.net
You can also fill the form online at http://manthanaward.org

* Kindly go through the guidelines before filling the Nomination form. http://manthanaward.org/other_full_story.asp?id=27
* Please ensure that filled in text is not repeated in the responses against the items in Part I, Part II and Part III.
* Please fill the form liberally and attach extra documents and links so that the Jury gets adequate information about your project in the best possible manner.
* Questions marked with asterisk * are mandatory. However, we recommend filling all fields.
* In case of any query regarding Nomination form kindly contact- manthanaward@defindia.net


Part I - Overview

1. Name of the Project/Product Nominated (in English)*:




2. Name of the Project/Product in Original Language:




3. Language(s) of the Product*:




4. URL (If Online):



5. Links to Online Resources*:

(Provide online links to all the material related to the project/product like brochure, PPT, Video , Media Reports, Partner / Client / Vendor websites, and so on)

6. Category* [CHOOSE ONE]

1. e-Business & Enterprise
2. Community Broadcasting
3. e-Culture & Heritage
4. e-Education & Learning
5. e-Agriculture & Livelihood
6. e-Environment
7. e-Governance
8. e-Health
9. e-Inclusion
10. e-Infrastructure
11. e-localisation
12. e-News & Media
13. e-Entertainment
14. e-Travel & Tourism
15. e-Science


















7. Project Definition of the application/service/innovation*:


(Not more than 200 Words)
[Define the project/product briefly to explain the entire project succinctly]





Part II - Technical Details

8. Technical description of product/ services / platform


( Not more than 200 words)*

* Technology (Hardware, Software, Platform)


* Feature List


* Hosting (Details and explanation on how it is fast, scalable, reliable and secure? )


* Integration mechanism


(with different mobile phones)

* Edition & Pricing


(Editions tailored for the demanding needs of small to large size businesses from different industries)

* Coverage area


* Value added services, if any


* Service & Support (In terms of software, or hardware, if applicable)



9. Installation procedure/Technical Requirements of the product/project for testing by Jury*:


[Provide User name & Password/steps / special browser/plug-in/ Device / any other information required to access & test the product/project]

Part III - Product/Project Data & Details

10. Chronology*


1. Date When Project Conceived:


2. Launch Date of the Project:


3. Project Completion Date:


4. Other Important dates & events during the journey responsible for present state of the product/project:



11. Who are currently using your service or product*?

[Describe your End users, including various categories]


12. What do you deliver (Content/Services) to your customer/target group through your initiative?*


[Provide the complete list of deliverables to the customer/target group]







13. Describe the commercial model.*


(Not more than 200 words)
[Describe details of Cost , Pricing and Revenue model]






14. Detailed Description of the application / service/ innovation*:


(Not more than 1000 words)
[Describe the project in detail, mentioning all the relevant information]








15. Specify your implementations till date & also impact in detail? *


(Not more than 200 words) [List Regional areas where the project was implemented & the outcome/impact of the same. List quantitative data.]

16. What was the background behind developing the application/service/innovation?


(Not more than 200 Words)
[Give details about the factors which motivated you to start this project.]

17. Best ways to use or the best usage scenarios of the product/project*:


(Not more than 500 Words)
[Provide details as how has your project benefited the people? List all the current and future benefits]






18. How does your application/ service/ innovation provide interactivity and ease of use to the users?


(Not more than 200 words)
[Provide details on how your product/project solves the purpose of its inception with ease and convenience to the user]

19. Provide some user experience on how your project has impacted user life*?


[Feedback and comments by the users - Please provide user details also]

20. How is your project unique?


[Describe the Uniqueness of your Innovation in terms of Originality of Idea / Method/ Business Model/ Technology / Application / Implementation process that your product/project has which makes it different]


21. Competition / Peers: List competing service(s) available to target user base offering similar value.


(Not more than 200 words)








22. Is your project sustainable on its own? How scalable is it? Please explain if there are any limitations. *


(Not more than 200 words)
[Explain the Business Plan of your project in terms of sustainability with all the limitations of the product]





23. Would you like to share about other initiatives, products, projects and implementations that reflect your larger contribution towards using innovation for empowering rural masses?












24. What is the Roadmap of your Project? Also share your long-term vision.


(Not more than 500 words)

















Part IV - Producer (Individual/Organization) information

25. Name of Organization (Nominees)*



26. Contact Person*



27. Street Address*



28. City*



29. Post Code*



30. State*



31. Country*



32. Mobile, Telephone, Fax*



33. Email(s)*



34. URL/Website



35. Heads, Team Members, Investors, Clients, Partners & Vendors who have significantly contributed*


S.No.

Name


Role

[Heads/Team Member/

Client/ Vendor / Investor]


Email


Phone/Mobile


Location
1.








2.








3.








4.








5.