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FORM – B
FORM B
FORM B
Step 1 of 5 - PRELIMINARY DETAILS
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PROJECT/INNOVATION DETAILS
For your project to succeed and scale what are the three top priority areas of focus that you need to work on (Technology, marketing, funding,etc.) Also mention in brief, how do you plan to work on these areas.
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Area of Focus
Description
What is the most critical constraint to growth that your innovation faces?
How do you plan to overcome this constraint?
How is your innovation unique in comparison to others in your sector?
Sustainability
Describe where do you see the project in the following time horizons and the resources required for the same.
From now till the next 2 years
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Milestones planned
Capital, tech, HR, other resources required
2 - 5 years
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Milestones planned
Capital, tech, HR, other resources required
5 years and above
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Milestones planned
Capital, tech, HR, other resources required
Please provide details of your proposed innovation's sustainability plan? What are the key factors of this innovation which makes it sustainable?
SCALABILITY
What are the key factors of this project that makes it scalable? (Scalability- The capacity of an innovation to grow in terms of size and impact)
What is your scale of peration? (Number and name of cities, geographical locations in India, communities, etc.)
Please describe the geography this innovation currently works in?
How many Persons with disabilities have been impacted directly/ indirectly through your innovation?
REPLICABILITY
What are the key factors of the project that make it replicable in other cities/ states/ regions/countries/departments? (Replicability- The capability of the innovation to be replicated across various geographies and circumstances)
Is your Solution, a stand alone project or a part of a bigger project?
Financial Details
Project Cost - Mention the cost involved in the implementation of the project as per the given cost below
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Details (Technology development, Salary, HR,etc)
Amount (FY 2016-17)
Amount (FY 2017-18) projected
Recurring expenditure of the project (specify key heads only. In the details column,please specify the cost heads such as salary costs, HR ,etc. ) In Lakhs
Details (Technology development, HR, Salary,etc.)
Amount (FY 2016-17)
Amount (FY 2017-18) projected
Explain the revenue model of the innovation, i.e., the source of revenue from the innovation that contributes/will contribute to the profitability of the organization or at least make the innovation self-sustainable.
Details
Amount (FY 2016-17)
Amount (FY 2017-18) projected
Has this innovation received a grant/funding or impact investing/angel funding. If Yes, please provide details.
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TECHNOLOGY DETAILS
Has your organisation revised/ restructured your ICT solution from the initial design phase till date?
How is it designed to work with the intended beneficiaries? Please provide complete details on software, hardware, features, integration mechanism,services & support, development phases & pricing (if any)
IMPACT DETAILS
How are you going to impact the life of the PErsons with disabilities by using this innovation?
Describe the methodology/tool/indicators/process that you use to measure impact.
What is the impact (or expected impact) of your project/ service/ initiative? Please demonstrate tangible & intangible socio-economical and environmental impact with details about the extent of impact- key statistics, number of beneficiaries, existing geographies,etc.
What are some of the risks expected and what is the plan for mitigation?
PRIMARY ORGANIZATIONAL DETAILS
Specify the total number of employees in the organisation/ number of team members working on the project.
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Total number of employees
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Total number of Team members
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Leadership Team: Please provide details of your leadership team.
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Name
Current Area of responsibility
Brief Profile
Secondary organization details
Please identify the main competitors if any and describe how they create competition for your innovation.
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If you were to win IAI Award grant, how do you plan to utilise the grant? Please note that this is an important question for our jury & will strongly support us in evaluating the potential of your solution. Please provide as much details as possible.
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How will winning this award impact you/ your work? Why should your innovation/ project be considered for the program?
Mention any other information with respect to the Innovation that you want the jury to consider while evaluating your application. (optional)
Is there any current litigation against the organization or its key executives regarding the entered or any other initiative?
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