ManthanNominationform 2013 Offline

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Send the completed form to [email protected]  You can also fill the form online at http://manthanaward.org Kindly go through the guidelines before filling the Nomination form. We suggest you to provide the appropriate information for the use of Jury. Please ensure that filled in text is not repeated in the responses against the items in Part I, Part II and Pa rt III . Questions marked with asterisk * are mandatory. However, we recommend filling all fields.   Online Form: An applicant is required to fill the mandatory fields in the form for the first time. For editing it further, you can login using your Password & Email ID. Offline form: No further editing would be available, please ensure to fill it properly & finalise before sending it to [email protected] Applicant is required to attach ‘ One Project presentation or a small project video’ about the project/product with this nomination form, otherwise Jury may not consider the application. After filling up the nomination form, if applicant feels to share PPT/Video/Pics about their project they can send it to [email protected] keeping ‘project name’ in the subject line of the email. Part I - Overview 1 Name of the Project/Product Nominated (in English)*: 2 Name of the Project/Product in Or iginal Language: 3 Language(s) of the Product*: (Language in which your project is launched ie. Hindi, English, Marathi, Gujarati etc.) 4 Website URL*: 5 Links to Online Resources*: (Provide all the material related to the project/product like brochure, ppt, video links, media links, client sites etc.) 6 Category* [CHOOSE ONE] 1. e-B usi ness & F ina ncial I nclus ion 2. Communit y Bro adca sting 3. e- Cult ure a nd Tourism 4. e-Education, Learnin g & Empl oyment 5. e-A gri cul ture and Ecolo gy 6. e-Governance 7. e-Health 8. e-Inclusion & Localisation 9. e- Ne ws & Jou rnal ism 10. e-Entert ainme nt & Games 11. e-Science & Tech nolog y 12. e- Women & Empowerment 7 Project Definition of the application/service/innovation*: (Not more than 200 Words) [Define the project/produc t briefly with its vision & Mission.] 1 © Digital Empower ment Foundati on NOMINATION FORM 2013

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Send the completed form to [email protected]

 You can also fill the form online at http://manthanaward.org

Kindly go through the guidelines before filling the Nomination form.

We suggest you to provide the appropriate information for the use of Jury.

Please ensure that filled in text is not repeated in the responses against the items in Part I,Part II and Part III.

Questions marked with asterisk * are mandatory. However, we recommend filling all fields.  Online Form: An applicant is required to fill the mandatory fields in the form for the first time.

For editing it further, you can login using your Password & Email ID.

Offline form: No further editing would be available, please ensure to fill it properly & finalisebefore sending it [email protected]

Applicant is required to attach ‘One Project presentation or a small project video’ aboutthe project/product with this nomination form, otherwise Jury may not consider the application.

After filling up the nomination form, if applicant feels to share PPT/Video/Pics about theirproject they can send it to [email protected] keeping ‘project name’ in thesubject line of the email.

Part I - Overview

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

2 Name of the Project/Product in OriginalLanguage:

3 Language(s) of the Product*: (Language in which your project is launched ie. Hindi,English, Marathi, Gujarati etc.)

4 Website URL*:

5 Links to Online Resources*: (Provide all the material related to the project/product likebrochure, ppt, video links, media links, client sites etc.)

6 Category* [CHOOSE ONE]1. e-Business & Financial Inclusion2. Community Broadcasting3. e-Culture and Tourism4. e-Education, Learning & Employment

5. e-Agriculture and Ecology6. e-Governance7. e-Health8. e-Inclusion & Localisation9. e-News & Journalism10. e-Entertainment & Games11. e-Science & Technology12. e- Women & Empowerment 

7 Project Definition of theapplication/service/innovation*:(Not more than 200 Words)

[Define the project/product briefly with its vision & Mission.]

1 © Digital Empowerment Foundation

NOMINATION FORM 2013

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Part II - Product/Project Data & Details

8 Launch Date of the project*

[PROJECT IMPLEMENTED BEFORE 1ST 

JANUARY 2013 SHOULD APPLY]

9 Detailed Description of the application /service/ innovation*:

Describe the project Objectives & concept in detail.)(Limit: 2000 Words)

10 Who are currently using yourservice or product*?

[Provide who are your End users, Share the specificcommunities counts as your target market & number of users of your application till date) [Limit: 500 words]

11 What do you deliver(Content/Services) to yourcustomer/target group through yourinitiative?*

[Provide the Complete list of deliverables to thecustomer/target group][Limit: 300 words]

12 Describe the Business model. Isyour project sustainable on its own? Howscalable is it?*

[Describe details of step by step approach to the projectimplementation & idea of making it sustainable model](Limit: 500 Words)

13 Specify your implementations tilldate & impact on the Society? *

 

[List Regional areas where the project was implemented &the outcome/impact of the same. Quote quantitative data.](Limit: 300 Words)

14 What was the background behind

developing theapplication/service/innovation?

[Give details about the factors which motivated you to start

this project.](Limit: 300 Words)

15 What are the Limitations of project*:

[Provide the limitations/issues in implementing the idea onground.](Limit: 500 Words)

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16 Uniqueness in the idea* [Explain the USPs & strategic value of your project][Limit: 500 words]

17 Provide some real User Experienceregarding your Innovation.

(Feedback and comments by the users , preferably withuser contact details) [Limit: 500 words]

Part III - Technical Details

18 Technical description of product/services / platform( Not more than 200 words)*

•  Technology (Hardware, Software, Platform-

LCD, Web, Phone, other device)

• Feature List (content features/service featuresof project)

• Hosting (Details and explanation on how it isfast, 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 differentindustries)

• Coverage area

• Value added services, if any

• Service & Support (In terms of software, or

hardware, if applicable)

19 Any special Device/Equipmentrequired for testing the application*?

(If Yes, send the device to the mentioned New Delhi officeaddress on website)

20 Installation procedure/TechnicalRequirements of the product/project fortesting by Jury*:

[Provide User name & Password/steps / specialbrowser/plug-in/ Device / any other information required toaccess & test the product/project]

21 Sources of funding? [Name the sources who are funding/supporting yourinnovation]

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Part IV - Personal (Individual/Organization) information

22 Name of Organization (Nominee)*  

23 Contact Person*  

24 Address*  

25 City*  

26 Post Code*  

27 State*

28 Country*  

29 Mobile, Telephone, Fax*  

30 Contact/Primary Email*  

31 Logo of the Project* (Attach one Logo in JPEG, .EPS or .PNG format)Max size: 2 MB

32 PPT of the project* (Attach one ppt talking about your project definition,objectives, approach & USP for the reference of JuryMembers)

33 Video Demo of the project* (Attach one short Video Demo of your projectimplementation/endusers/ approach/USP for the reference of 

 Jury Members)

34 Heads, Team Members, Investors, Clients, Partners & Vendors who have significantly

contributed*

S.No. Name Email Phone/Mobile Location Role[Heads/Team

Member/Client/ Vendor /

Investor]

1.

2.

3.

4.

5.

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