1. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARDS CATEGORIES FACILITY OF THE YEAR Most conducive environment for older adults to age well with access to care i) Independent Seniors Living ii) Residential Aged Care BEST ACTIVE AGEING PROGRAMME Interest group, activity group, performance group, special event BEST DEMENTIA CARE PROGRAMME Activities, care or rehabilitation for older adults with dementia BEST HOME CARE OPERATOR Delivery of services to support ageing-in-place BEST REHABILITATION OPERATOR Enabling improvements for daily living, strength and wellbeing BEST TECHNOLOGY FOR OPERATIONAL EFFICIENCY Reduces workload for staff, process improvements, new approach to care delivery BEST PRODUCTIVITY INNOVATION IMPLEMENTATION Improvement and development of processes, programmes and services BEST PRODUCT TO SUPPORT AGEING-IN-PLACE Improves quality of living for older adults, user friendliness and affordability BEST SILVER ARCHITECTURE Universal design with social, health and wellness engagement spaces 20 FEB 2015 SUBMISSION DEADLINE 27 FEB 2015 ANNOUNCEMENT OF FINALISTS 15 APR 2015 AWARDS CEREMONY & DINNER 15 APRIL 2015  SINGAPORE MARINA BAY SANDS CONVENTION CENTRE Held in conjunction with the 6 th Ageing Asia Innovation Forum 2015 2015 ASIA PACIFIC ELDERCARE INNOVATION AWARDS 2015 The Oscars of the Eldercare Industry Recognising innovations that deliver dignity, health and happiness of older adults www.ageingasia.com

2. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com 3 RD ASIA PACIFC ELDERCARE INNOVATION AWARDS JUDGING PANEL Professor Hiroyuki Murata, Tohoku University and President, Murata Associates Inc., Japan Professor Hiro Murata is the most pioneer of active ageing business in Japan and an internationally recognized thought leader in ageing societies. He has worked with over 850 companies and contributed to develop various innovative products and services such as Curves Japan, the world’s largest fitness chain for women in Japan, Raku-Raku phone, the best-selling age-friendly mobile phone, and the first college-linked retirement community in Japan. He serves as Professor at Smart Ageing International Research Center (SAIRC) at Tohoku University in Sendai, Japan. Not only created the concept of “Smart Ageing” but also he contributed to establish the Smart Ageing Square, the ageing-business-on-campus with various industry partners and the Smart Ageing College, the intergenerational school on the campus. Both are the first implementation in Japanese national universities. He is an entrepreneur, business producer, gerontologist, and best-selling author of several books, including The Business of Aging: 10 Successful Strategies for a Diverse Market, he Successful Business of Ageing: turning the super-aged society into business opportunities. Dr Chua Hong Teck, Director, Healthcare & Low Income Household, Performance Management and Delivery Unit (PEMANDU), Prime Minister’s Department, Malaysia Dr. Chua has about 34 years in the public service, including serving in Hospital Kuala Lumpur, Ministry of Health and the Treasury. His last position before joining PEMANDU was as Director Social Services in Economic Planning Unit in Prime Minister’s Department. Dr Chua obtained his PhD in health economics and financing from University of New South Wales, Sydney in 1998. In PEMANDU, he is responsible for the implementation of initiatives under the Low-Income Households (LIH) National Key Results Area (NKRA) and Healthcare National Key Economic Area (NKEA). Under LIH NKRA, the initiatives are to improve the their income and living standards by providing opportunities to participate in income generating programmes. For Healthcare NKEA, he facilitates the implementation of the Entry Point Projects (EPPs), covering medical insurance, healthcare travel, industry sponsored clinical trials, pharmaceuticals, medical devices and aged care. PEMANDU organised a lab in 2012 on seniors living or aged care to develop retirement villages, home care and mobile services, transformation of institutional care and the development of eco-system for aged care facilities and services. His other areas of interest include healthcare financing and reforms. Professor Alfred Chan, Chairman, Elderly Commission, Government of Hong Kong SAR Prof. Chan has been both a practitioner in welfare services for older persons and an academic in social gerontology. Starting his career as a nurse and later on as a social worker in serving older persons, Prof. Chan has extensive skills and knowledge in health and social care services and policy making. His academic interests, such as the interpretation of intergenerational relationships, ageing and long-term care policies in Asia Pacific, the development of health and social care measurements, Quality of Life, Caring Index, etc. are closely related to this area and his research have been widely published in refereed journals and as book chapters. He is currently the Director of Asia-Pacific Institute of Ageing Studies and Office of Service-Learning, which he founded in 2006 in the promotion of “Liberal Arts Education” to university students through “Serving-to-Learn; Learning-to-Serve.” He has recently been appointed by Tsao’s Foundation of Singapore and National University of Singapore (NUS) to be the Advisor for their International Longevity Centre (ILC) from June 2011. In recognition of Prof Chan’s invaluable contributions to the community, he was appointed as Justice of Peace (JP) in 2001, and was awarded the Bronze Bauhinia Star (BBS) by the HKSAR Government in 2006. Mr Daniel Reingold, President & CEO, The Hebrew Home at Riverdale, USA Daniel Reingold, M.S., J.D. is President and Chief Executive Officer of The Hebrew Home at Riverdale, in New York City. The Hebrew Home is a non-sectarian, not-for-profit geriatric service organization which provides residential health care, senior housing communities as well as a full spectrum of homecare, rehabilitation, and adult day and overnight respite programs offered by its ElderServe community services division. The Hebrew Home serves more than 10,000 older people in the Bronx, Manhattan, and Westchester County. In 2005, The Hebrew Home at Riverdale established The Harry & Jeanette Weinberg Center for Elder Abuse Prevention, the nation's first comprehensive elder abuse shelter. Mr. Reingold serves on the boards of directors of the Continuing Care Leadership Coalition, the Greater New York Hospital Association and the Association of Jewish Aging Services. Mr. Reingold received a B.A. from Hobart College, an M.S. from Columbia University, and a law degree from the Benjamin N. Cardozo School of Law of Yeshiva University. Prior to joining the Hebrew Home in 1990, Mr. Reingold was an attorney in private practice representing non-profit organizations.

3. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com Please read instructions prior to filling out the application forms: 1.Please fill in the cover page, accompanied with the respective award categories you are submitting for. 2.Each official submission form must be completed according to the word limit as stated. Applications that are incomplete or do not meet the criteria will not be qualified for submission. 3.Each award category entry must be contained within 1 Page only. Please do not use all BLOCK Letters. The following format is to be used: Only ‘CAPS’ the first word of each sentence. Font size is 8, Font type is Arial. 4.Please include any photos in the awards application form, and email copies of the photos in high resolution, min 300 dpi, jpeg file to awards@ageingasia.com. You can email the files via dropbox.com link or www.wetransfer.com 5.All video file submissions should be in MP4 format, not exceeding 2 minutes. A video submission will be a good supporting document, but it is not compulsory. However, the “Facility of the Year” award category requires a compulsory video submission - Please label the video file under the facility name. For all other optional video submissions, please label the video according to the product/programme name. 6.Kindly submit your application forms and videos to awards@ageingasia.com by 20 FEBRUARY 2015, 5pm, Singapore Time. You can email the files via dropbox.com link or www.wetransfer.com. 7. Late applications will not be entertained. Award application is only accepted upon receipt of full payment of entry fees. 8.There is an entry fee of S$550 per award category. The first award submission is free for Ageing Asia Alliance members. 9.The submissions will be reviewed by the APAC Eldercare Innovation Awards 2015 judging committee. 6 finalists per category will be selected by the judging committee. 10.Finalists of each category will be announced on 27 February 2015. Live voting for finalists will commence in March. 11.For the final results, the judging committee will influence 60% of the votes and 40% will come from by the 6 th Ageing Asia Innovation Forum (AAIF) audience participation. Only registered participants of the 6 th AAIF are eligible to vote. Each participant is only allowed to vote once. Voting closes on 15 April 2015 at 2pm. 12.Finalists will have the opportunity to showcase their submissions at the 6 th AAIF. 13.The organisers reserve the final rights to publish only eligible award entries in the final awards booklet. 14.Finalists will be featured in the awards’ marketing collateral. All information submitted will not be edited, so please furnish the information as accurate as you can. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- About the annual Asia Pacific Eldercare Innovation Awards Launched in April 2013, the annual Asia Pacific Eldercare Innovation Awards is an industry innovation driven by Ageing Asia Pte Ltd. The awards is the first of its kind in the Asia Pacific region that recognises the best in eldercare product and service delivery. This prestigious industry award takes place annually, in conjunction with the international Ageing Asia Innovation Forum (AAIF) in Singapore. The awards logo includes a human element that represents the importance of empathy and passion by the people who work hard each day to raise the quality of life for older adults. Founder of the awards, Ms Janice Chia, Managing Director, Ageing Asia Pte Ltd shared, “The awards aim to recognise Asia Pacific’s care organisations who have gone the extra mile to improve health, quality of life and independence for our elderly. I hope to improve the image of the care industry in our region by focusing on the innovative contributions of organisations and their teams.” Professor Hiroyuki Murata, President, Murata Associates, Japan, who is part of the awards advisory board added, “The elder care industry is one of the most complicated and complex industries to evaluate, but it is worth the effort to be part of the awards to improve quality of services and ensure our seniors receive the best care needed.” ------------------------------------------------------------------------------------------------------------- 2015 Asia Pacific Eldercare Innovation Awards Recognition & Trophies Winner of each category will receive a trophy and certificate of participation 6 Finalists will be shortlisted for each category. All Finalists will receive a runners-up trophy and certificate of participation INSTRUCTIONS ON SUBMISSION

4. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com Facility of the Year – Independent Seniors Living E.g. Best independent living community with services 1 (Low) 23 (High) Enables ageing-in-place (with care services when required) Social interaction and wellness activities that enable healthy ageing Use of technology to create a safer living environment JUDGING CRITERIA / SAMPLE OF JUDGING FORM Facility of the Year – Residential Aged Care E.g. Best residential aged care home environment and community 1 (Low) 23 (High) Creates a second family community and support network Programmes and activities to improve cognitive skills, social interaction and health Use of technology to create a safer living environment Best Active Ageing Programme E.g. Interest group, activity group, performance group, special event 1 (Low) 23 (High) Encourages physical activity Fun and socially interactive Ease of use for older adults Best Dementia Care Programme Eg. Activities, care or rehabilitation for older adults with dementia 1 (Low) 23 (High) Enables dignity Supports independence Brings happiness and smiles Best Home Care Operator Eg. Delivery of services to enable ageing-in-place 1 (Low) 23 (High) Supports independence and encourages improvements in performing daily living activities Creates a second family and support network Provides personal and customised care services within your own home Best Rehabilitation Operator Eg. Enabling improvements for daily living, strength and wellbeing 1 (Low) 23 (High) Provides motivation to improve Increases strength and confidence for daily living, strength and wellbeing Care philosophy

5. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com Best Productivity Innovation Implementation Eg. Improves and develops processes, programmes and services 1 (Low) 23 (High) Enables costs savings Enables more efficient allocation of resources Demonstrates improvement or innovation in processes, programmes and services Best Technology for Operational Efficiency Eg. Reduces workload for staff, process improvements, new approach to care delivery 1 (Low) 23 (High) Reduces processes, paperwork or administration User friendly (Ease of use / staff training provided / customer support) Affordability Best Product to Support Ageing-in-place Eg. Improves quality of living for older adults, user friendliness and affordability 1 (Low) 23 (High) Improves quality of living and environment for older adults User-friendliness Affordability Best Silver Architecture Eg. Universal design with social, health and wellness engagement spaces 1 (Low) 23 (High) Enables social interaction and conversations Integrates universal design and technologies Provides health and wellbeing activity spaces JUDGING CRITERIA / SAMPLE OF JUDGING FORM

6. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com Please complete this page and the respective award application pages and submit to awards@ageingasia.com by 10 February 2015, 5pm (SG time) Organisation:[Type Here] Submitting Officer:[Type Here] Designation of Submitting Officer:[Type Here] Email of Submitting Officer:[Type Here]Direct Tel:[Type Here; include Country Code] Address:[Type Here] Name of Head of Organisation:[Type Here] Job Title of Head of Organisation:[Type Here] Email of Head of Organisation:[Type Here] Categories Submitted (please tick) [ ] Facility of the Year – Independent Seniors Living [ ] Facility of the Year - Residential Aged Care [ ] Best Active Ageing Programme [ ] Best Dementia Care Programme [ ] Best Home Care Operator [ ] Best Rehabilitation Operator [ ] Best Technology for Operational Efficiency [ ] Best Productivity Innovation Implementation [ ] Best Product to Support Ageing-in-place [ ] Best Silver Architecture Entry Fees: S$550 per award category submitted. You can submit for multiple categories, but each organisation is only allowed to submit one (1) entry per category. ☐ First award category submission is free for Ageing Asia Alliance Members YES, I am an Ageing Asia Alliance Member (All prices are inclusive of 7% GST) APAC Eldercare Innovation Awards 2015 Ceremony & Dinner: ☐ YES, I would like to book a table of 10 for the Awards Dinner at S$3,300 (All prices are inclusive of 7% GST) For further assistance, contact Sylwin Ang at sylwinang@ageingasia.com or call +65 6441 0474 Optional Showcase Package: ☐ YES, I would like to purchase the additional showcase package to be profiled at AAIF2015 1 X Exhibition Table Top Space at AAIF2015 (14-15 April 2015) Branding & Publicity in the APAC Eldercare Innovation Awards 2015 official Awards Booklet distributed to the 6 th AAIF 2015 delegates: -Interview with the CEO (What is your organisation’s vision, what is your leadership philosophy, How would you like to change the way we age in Asia Pacific? – Limited to 50 words per question) -CEO Photo and Biography (50 words) -Company Logo and URL -Company Contact Person, Designation, Telephone number, Email -1 x Full Page, A4 Full Colour Advertisement 1 X ticket to the the 3 rd Asia Pacific Eldercare Innovation Awards 2015 Ceremony & Dinner For more information, contact Sylwin Ang at sylwinang@ageingasia.com or call +65 6441 0474 Payment Method ☐ Payment Via TT - Please invoice me for S$_____________ ☐ Payment Via Credit Card S$_____________ Card Number: ☐☐☐☐ ☐☐☐☐ ☐☐☐☐ Mastercard: ☐ Visa Card: ☐ Expiry Date: ☐☐ / ☐☐ 3 Digit CVV : ☐☐☐ Card Holder Name: ____________________________________________________________________ Card Holder Address: __________________________________________________________________ Card Holder Signature: _________________________________________________________________ Signature of Submitting Officer:Date: OFFICIAL SUBMISSION FORM – COVER PAGE

7. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Facility of the Year - Independent Seniors Living E.g. Best independent living community with services [Insert Image 1] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Facility Video: (Must be in MP4 format) (You may include tour of facility, example of accommodation, activities, resident interviews… - Maximum 2 minutes) Facility Name:[Type here] Description Of Facility:[Type here, tell us about the facility, who lives there, services offered, limited to 50 words] Care Philosophy & Vision:[Type here – Limited to 30 words] Cost To Rent / Purchase, Monthly Or Annual Service Fees: [Type here, please convert cost to US$] Staff To Client Ratio:[Type here]Staff Size:[Type here ] No. Of Clients:[Type here] How Does This Facility Enable Ageing-in- place? [Type here – Limited to 50 words] How Does This Facility Encourage Social Interaction And Wellness Activities That Enable Healthy Ageing? [Type here – Limited to 50 words] How Does This Facility Use Technology To Create A Safer Living Environment? [Type here – Limited to 50 words] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

8. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Facility of the Year - Residential Aged Care E.g. Best residential aged care home environment and community [Insert Image 1] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Facility Video: (Must be in MP4 format) (You may include tour of facility, example of accommodation, activities, resident interviews… - Maximum 2 minutes) Facility Name:[Type here] Description Of Facility:[Type here, tell us about the facility, who lives there, services offered, limited to 50 words] Care Philosophy & Vision:[Type here – Limited to 30 words] Cost To Rent / Purchase, Monthly Or Annual Service Fees: [Type here, please convert cost to US$] Staff To Client Ratio:[Type here]Staff Size:[Type here] No. Of Clients:[Type here] How Does This Facility Create A Second Family And Support Network? [Type here – Limited to 50 words] How Do The Programmes And Activities Help To Improve Cognitive Skills, Social Interaction And Health? [Type here – Limited to 50 words] How Does This Facility Use Technology To Create A Safer Living Environment? [Type here – Limited to 50 words] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

9. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Active Ageing Programme E.g. Interest group, activity group, performance group, special event [Insert Image 1] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Programme Video (Optional): (Must be in MP4 format): (You may include a video of the activity - Maximum 2 minutes) Programme Name:[Type here – Limited to 50 words] How Often Is This Programme Being Run?[Type here – Limited to 30 words] How Much Does It Cost To Run This Programme? [Type here, please convert cost to US$] Name Of Staff who developed this programme: [Type here]Staff Size:[Type here] Job Title Of Staff:[Type here] How Does This Programme Encourage Physical Activity? [Type here – Limited to 50 words] How Is The Programme Fun And Socially Interactive? [Type here – Limited to 50 words] How Easy Is It For Older Adults To Participate? [Type here – Limited to 50 words] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

10. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Dementia Care Programme E.g. Activities, care or rehabilitation for older adults with dementia [Insert Image 1] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Programme Video (Optional): (Must be in MP4 format): (You may include a video of the activity - Maximum 2 minutes) Programme Name:[Type here – Limited to 50 words] Description:[Type here, tell us about the programme, inspiration for programme. Limited to 50 words] How Often Is This Programme Being Run?[Type here, Eg. Annually, Monthly, Weekly, Daily] How Much Does It Cost To Run This Programme? [Type here, please convert cost to US$] Name Of Staff:[Type here, staff who created or lead the programme] Job Title Of Staff:[Type here] How Does This Programme Enable Dignity?[Type here – Limited to 50 words] How Does This Programme Support Independence? [Type here– Limited to 50 words] How Does This Programme Improve Health?[Type here – Limited to 50 words] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

11. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Home Care Operator E.g. Delivery of services to enable ageing-in-place [Insert Image 1] Best representation of service Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of service Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of service Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Service Delivery Video (Optional): (Must be in MP4 format): (You may include a video of how your service is delivered, activities or interview with clients - Maximum 2 minutes) Operator Name:[Type here] Care Philosophy & Vision:[Type here – 30 words] Description Of Home Care Services:[Type here, limited to 50 words] Service Fees:[Type here, please convert cost to US$] Staff To Client Ratio:[Type here]Staff Size:[Type here] No. Of Clients:[Type here] How Does This Service Support Independence, And Encourages Improvements In Performing Daily Living Activities? [Type here – Limited to 50 words] How Does This Service Create A Second Family And Support Network? [Type here – Limited to 50 words] How Does This Service Provide A Personal And Customised Care Service Within Your Own Home? [Type here – Limited to 50 words] Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words] OFFICIAL SUBMISSION FORM

12. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Rehabilitation Operator E.g. Enabling improvements for daily living, strength and wellbeing [Insert Image 1] Best representation of service Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of service Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of service Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Service Delivery Video (Optional): (Must be in MP4 format) (You may include a video of how your service is delivered, activities or interview with clients - Maximum 2 minutes) Operator Name:[Type here] Description:[Type here, limited to 50 words] Service Fees:[Type here, please convert cost to US$] Staff to Client Ratio:[Type here]Staff Size:[Type here] No. of Clients:[Type here] How Does This Service Provide Motivation For Clients To Improve? [Type here – Limited to 50 words] How Does This Service Increase Strength And Confidence For Daily Living, Strength And Wellbeing? [Type here – Limited to 50 words] What Is Your Organisation’s Care Philosophy? [Type here – Limited to 50 words] Please List your Clients who have implemented this product: (You can list up to 10) [Type here] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

13. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Technology for Operational Efficiency E.g. Reduces workload for staff, process improvements, new approach to care delivery [Insert Image 1] Best representation of technology Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of technology Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of technology Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Demonstration Video (Optional): (Must be in MP4 format) [Max 2 mins] Product Name:[Type here]Country:[Type here] Description:[Type here, tell us about the product, inspiration for product and impact of product, limited to 120 words] How Often Will This Product Be Used?[Type here, Eg. Annually, Monthly, Weekly, Daily] How Much Does It Cost To Run This Technology Product? [Type here, please convert cost to US$] How Does This Technology Reduce Processes, Paperwork Or Administration? [Type here – Limited to 50 words] How User Friendly (Ease Of Use / Staff Training Provided / Customer Support) Is This Technology? [Type here – Limited to 50 words] How Affordable Is This Technology?[Type here – Limited to 50 words] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

14. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Productivity Innovation Implementation E.g. Improves and develops processes, programmes and services [Insert Image 1] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of programme Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Demonstration Video (Optional): (Must be in MP4 format) [Max 2 mins] Product Name:[Type here]Country:[Type here] Description:[Type here, Tell us about the product - Limited to 120 words] Who Is The Target User:[Type here] What Is The Cost Of Implementation?[Type here, please convert cost to US$] How Will This Enable Cost Savings?[Type here – Limited to 50 words] How Will This Enable More Efficient Resource Allocation? [Type here – Limited to 50 words] Demonstrate How This Will Improve Or Provide Innovation In Processes, Programmes And Services? [Type here – Limited to 50 words] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

15. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Product to Support Ageing-in-Place E.g. Improves quality of living for older adults, user friendliness and affordability [Insert Image 1] Best representation of product Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of product Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of product Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Demonstration Video (Optional): (Must be in MP4 format) [Type here – Max 2 mins] Product Name:[Type here]Country:[Type here] Description:[Type here, tell us about the product - Limited to 120 words] Who Is The Target User:[Type here] What is the Cost of Implementation:[Type here, please convert cost to US$] How Will This Product Improve Quality Of Living For Older Adults? [Type here – Limited to 50 words] How User Friendly Is This Product?[Type here – Limited to 50 words] How Affordable Is This Product?[Type here – Limited to 50 words] Please List your Clients who have implemented this product: (You can list up to 10) [Type here] OFFICIAL SUBMISSION FORM Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full]Type Of Operations: [Type here: Private / NGO / Government] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words]

16. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com AWARD CATEGORY Best Silver Architecture E.g. Universal design with social, health and wellness engagement spaces [Insert Image 1] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 2] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Insert Image 3] Best representation of facility Min. 300 DPI, JPEG file [Please remove the text above and replace with your image] [Type here, insert caption for image, limited to 6 words] Facility Video (Optional): (Must be in MP4 format) [Type here – Max 2 mins] Facility Name:[Type here]Country:[Type here] Architect Name, Designation, Firm And Country: [Type here – Eg. Mr Tim Ong, Partner, Tim Ong Associates, Singapore] Description Of Facility:[Type here, tell us about the facility and why is it unique? What is the design philosophy and the benefits for users? Limited to 120 words] Who Is The Target User:[Type here] How Does This Design Enable Social Interaction And Conversations? [Type here – Limited to 50 words] How Does This Design Integrate Universal Design And Technologies? [Type here – Limited to 50 words] How Does This Design Provide Health And Wellbeing Activity Spaces? [Type here – Limited to 50 words] Organisation Name:[Type here]Years in Operation:[Type here] Name of Head of Organisation: [Type here, spell in full the name of the highest decision maker / CEO] Job Title:[Type here] Head Office Country:[Type here, spell in full] Total Staff Strength:[Type here, no. of staff]Management Team:[Type here, no. of staff] Corporate Profile:[Type here, limited to 120 words] OFFICIAL SUBMISSION FORM

17. 15 APRIL 2015  MARINA BAY SANDS CONVENTION CENTRE  SINGAPORE Held in conjunction with the 6th Ageing Asia Innovation Forum 2015 The Oscars of the Eldercare Industry | www.ageingasia.com For more information, please contact Sylwin at sylwinang@ageingasia.com * Benefits are subjected to change ** All prices are subjected to 7% GST Asia Pacific's First Industry Network on the Business of Ageing US$1,000