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I. Are you a member of FKCCI, if yes please mention your membership number*

II D. Website

III A. Name of the Contact Person*

III B. Designation of Contact Person*

III C. Mobile No of Contact Person*

III D. Email Id of Contact Person*

IV B. Designation of 2nd Contact Person

IV C. Mobile No of 2nd Contact Person

IV D. Email Id of 2nd Contact Person

V. Category of Exporters (Please tick in the appropriate box)

1. Star Exporter

Any exporter with a turnover exceeding ₹500 crore.

Manufacturing

Merchant

Services

2. Manufacturer Exporter

(MSME definition as per MSME Act, GOI – Total Turnover – Micro < 10 Cr, Small < 100 Cr: Medium < 500 Cr) Relevant Documentary evidence – copy to be enclosed)

Micro

Small

Medium

3. Merchant Exporter

(Total Turnover – Small <100 Cr: Medium <500 Cr)

Small

Medium

4A. Service Exporter (excluding software)

(MSME definition as per MSME Act, GOI – Total Turnover – Micro < 10 Cr, Small < 100 Cr: Medium < 500 Cr) Relevant Documentary evidence – copy to be enclosed)

Micro

Small

Medium

4B. Software Exporter

(MSME definition as per MSME Act, GOI – Total Turnover – Micro < 10 Cr, Small < 100 Cr: Medium < 500 Cr) Relevant Documentary evidence – copy to be enclosed)

Micro

Small

Medium

5. District Exporter

Yes

Name of the District*

6A. Exporter in special category

Yes

Please mention value addition/Innovation/technology upgradation in their exports to developed countries*

6B. Debut Exporter

Yes

Year of establishment*

6C. Start-up Exporter

DIPP Certificate – Relevant Documentary evidence copy to be enclosed

Yes

DIPP Certificate*

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 1,000 MB.

6D. NMPA Exporter

Shipments effected through the New Mangalore Port Authority during 2024-25. Endorsement letter from NMPA is mandatory

Yes

Endorsement letter from NMPA is mandatory*

Accepted file types: pdf, jpg, jpeg, png, Max. file size: 1,000 MB.

6E. Is your organization – Export Facilitation Organization? If yes

Central Govt.

State Govt.

Private

6F. Is your organization – Financial Institution? If Yes

Central Govt.

State Govt.

Private

7. Exporter Award (Women Entrepreneur)

Yes

X. Details of Registration with Export Promotion Councils / Commodity Boards etc., (Please enclose copy of RCMC)

XI. Quantum of Imports related to Export Business

XII. Category under which applied for FKCCI Awards (refer guidelines)

(Please tick the appropriate No.)

XIII. Note:
1. For category 6A, B & C (Best Exporter Award in special category/ Best Debut Exporter/Start-up), Documentary evidence endorsed by CA is essential.
2. For category 6A, A brief note or write-up for noteworthy value addition/innovation/ technology up-gradation to substantiate.
3. For category 6D (NMPA Best Exporter Award), endorsement from NMPA is required.

XIV. FOB value of exports/Foreign exchange earnings in Crores for 2024-25

NFE Earned

Export Growth compared to last year

FOB Value

XVI. FOB value of exports/Foreign exchange earnings in Crores 2022-23

NFE Earned

Export Growth compared to last year

FOB Value

XV. FOB value of exports/Foreign exchange earnings in Crores 2023-24

NFE Earned

Export Growth compared to last year

FOB Value

XVII. Proposed Target / planning for 2025-26:

XVIII. Mode of Export*

Seaport

Airport

Dryport

XIX. If mode of Export is Seaport, please mention the name of the port and quantum of export

XX. If mode of Export is Airport, please mention the name of the port and quantum of export

XXI. If mode of Export is Dryport, please mention the name of the port and quantum of export

XXIV. Any special achievement / new market development

XXV. State / National / International / Other Export Award(s) received, if any, please furnish

XXVI. A brief note or write-up for noteworthy value addition / innovation / technology up-gradation to substantiate who are applying for category 6A

XXVII. Please rank below mentioned Export facilitation Organization (TICK ANY 2)

I. DGFT

Rank I

Rank II

Rank III

None

II. FIEO

Rank I

Rank II

Rank III

None

III. VTPC

Rank I

Rank II

Rank III

None

IV. EEPC

Rank I

Rank II

Rank III

None

V. STPI

Rank I

Rank II

Rank III

None

VI. State Commercial Tax Dept.

Rank I

Rank II

Rank III

None

VII. NMPA

Rank I

Rank II

Rank III

None

VIII. Mangalore Customs

Rank I

Rank II

Rank III

None

IX. I & C Dept.

Rank I

Rank II

Rank III

None

X. Bangalore Customs

Rank I

Rank II

Rank III

None

XI. Cochin SEZ

Rank I

Rank II

Rank III

None

XII. CFS, Bangalore

Rank I

Rank II

Rank III

None

XIII. MSIL

Rank I

Rank II

Rank III

None

XIV. CAPEXCIL

Rank I

Rank II

Rank III

None

XV. Container Corporation of India

Rank I

Rank II

Rank III

None

XVI. Apparel Export Promotion Council (AEPC)

Rank I

Rank II

Rank III

None

XXVIII. Self-Declaration.
On behalf of my organization, I do here by declare that we shall fully abide by the rules and regulations of FKCCI Export Excellence Awards, I understand and accept that the decision of the Award Jury is final an all respects, and no corresponding email appeal will be accepted on Jury’s decision.

I also declare that the organization has faced no penal action during last 2 years, nor any case is pending against any corporate or other statutory compliance failure, from any regulatory authority.

I confirm that my Organization is eligible to take part in this competition, and that all information and accompanying application documents furnished by me are correct to the best of my knowledge.

I am willing to provide additional details as and when required for the evaluation process. Further my organization also will be liable for disqualification from the evaluation process for any false declaration.

I hereby undertake that all the information provided by me in this application is factual and has been fully verified by me.

Date*

Place*

Signature

Name and address of the Exporter with Seal

Note:
Please read the guidelines before filling up the application form. Please enclose Bank / CA certificate in a given format for export turnover along with the required documents and application form. Send the hardcopy of all the documents in a sealed cover to below mentioned address. For more details contact Ms. Bhagyalakshmi, Asst. Secretary # 9449711705 email to exportawards@fkcci.in

To
The Secretariat
Export Excellence Awards,
FKCCI Federation House
KG Road, Bengaluru- 560 009
Ph – 080 40828300

Registration*

Price:

EEA (1)