Nomination Form

To know more about awards

1. Name of the nominee

2. Contact number and full address of the nominee with district/state and pincode

3. Age of the nominee with date of birth

4. Marital status

5. Educational Qualification of the nominee

6. Who comprises of her family? what do they do for a living?

7. Is she is sole breadwinner of her family?

Kindly describe her enterprise. When was the business started? What is the product that is sold and where? Has she participated in some fairs/melas to sell her product? (Max 300 words)

How many employees work in her enterprise? How many women employees are there? What are the benefits she offers to her employees apart from wages? Elaborate (Max 300 words)

10.

Has she registered her business with MSME/DIC or local body? What is her investment till now in her business and how much on an average she is able to earn in a day? Elaborate (max 300 words)

11.

Does she possess a business card? Is she using some technology platform to promote her business? Is she having a FB page, website? Is she a member of some business associations? Elaborate (Max 300 words)

12.

Has she received any grant or support from State or National level institutions like KVIC,SIDBI,NABARD etc? Give details.(Max 300 words)

13.

What were some of the challenges she faced in her work and how did she overcome it? Why did she start the work that she is doing now? What was the inspiration? (Max 300 words)

14.

What all are her work related assets she has build over a period of time? Eg building, Plant and Machinery etc. What would be the approximate cost of the same? (Max 300 words)

15.

How did she manage the investment in her business? Did she take loan from bank? Does she maintain books of account and pays income tax/sales tax? (Max 300 words)

16. How has her work impacted the surrounding areas/communities? Has it led to economic prosperity of the local area in some way? Give examples.(Max 300 words)

17.

Is she giving training on skill training and employment generation? How many persons has she trained till now? What are the modules taken? (Max 300 words)

18.

What do you think are some of the qualities that she possess which has enabled her to do what she is doing now? (Max 300 words)

19.

What are some of the awards that she has received-Mention the year and who conferred the award? (Max 300 words)

20.

What is her dream for herself or where does she want to see herself after 5 years? Why do you think she deserves to be awarded with ESAF Sthree Ratna Award? (Max 300 words)

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