1. Name of the Nominee -ICAI Membership Number Name of the Nominee -ICAI Membership Number Category and Sub–Category of the Awards for which applying Category and Sub–Category of the Awards for which applying Present Designation – Name of the organization

2. Turnover (Sales) of the Company in Rupees: Turnover (Sales) of the Company in Rupees: Net worth of the Company: Net worth of the Company: Market Capitalization of the Organization: Market Capitalization of the Organization: Note: Please give details of the company where the person is located. For CA Business Leader or CFO where person is handling multiple companies within a group, please give composite details of all companies under the domain of nominee. Details of Individual companies may be given separately. The applicants of CA Professional Achiever should give details only of the company where they are working.

3. KEY ROLE IN THE ORGANIZATION

4. MAJOR ACHIEVEMENTS The achievements can be maximum of 2 slides The achievements can be maximum of 2 slides

5. MAJOR ACHIEVEMENTS The achievements can be maximum of 2 slides in bullet points The achievements can be maximum of 2 slides in bullet points Note- Please specify exact role whether the achievement is as a member of team or team leader or in any other capacity.