Application form

GAIN Business Award for Innovation in Nutrition - online application form.

If you experience problems with this online form, please download the Word copy from the "How to apply" page [1] and submit it via email, fax or post.

Company Details

Name of Company: *

Street address: *

Postal code: *

Province or State:

Country: *

Telephone: *

Fax:

Website:

Main Contact for Entry Correspondence

Name: *

Job Title: *

Email address: *

Telephone: *

Mobile:

Company credentials

Please demonstrate how your company shows a commitment to the highest standards of:
1 - Corporate governance,
2 - Socially responsible business practices
3 - Commitment to sustainable development.

Adherence to these standards can be demonstrated in a variety of ways – there is no set prescription. However, a minimum requirement is that applicants submit an annual report and accounts.

Annual report:

Please upload your latest annual report including audited financial statements as PDF or DOC (max. 1 Mb)

Annual report:

Or provide a weblink for your latest annual report including audited financial statements

Additional Information:

Please add any further information that supports your business commitment to the above standards and that you feel is appropriate.

Business Engagement in Malnutrition:

Briefly describe why your company is involved in fighting Malnutrition and how your engagement in this area is linked to your business strategy, objectives and activities.

Actual innovation

Please provide information on the actual innovation you would like to submit for consideration for the Award - this can be from any aspect of the food production supply chain process, or from other forms of activity/innovation, which demonstrate an effective method of providing nutritional solutions to tackle malnutrition. Please ensure you address the Award criteria [2].

Summary Description of Project Entry: *

Please provide a summary description of your project entry based on the GAIN Business Assessment Criteria.

Comments:

Please tell us anything else of importance you wish to convey about your initiative.

Sign Off

Sign Off Statement: *

Yes

I confirm this is a correct representation of our work. I confirm I have read, understood and therefore agree to abide by the Entry Rules stated for the GAIN Business Award

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