Category :Best Innovation in HealthcareThe filled-in application can be mailed to

drmimsawards@gmail.com or to the below address on or before5th August 2014

Dr.MIMS AwardsRelations Department

MIMS Calicut.673016

For Queries Please Call / Email09847520600 / drmimsawards@gmail.com

Dr.MIMS Awards 2014 Application form

Applicant Name:

Designation:

E-mail:

Alternate Mobile No:

Postal Address:

Pin code / Zip code:

Snapshot Outline in a sentence or two and insert inputs immediately below each question

• Define your Innovation?

• Who is the targeted beneficiary?

• How does it benefit the beneficiary?

• What is the differentiating factor over other existing productes / Services?

Executive Summary – 1

• Define your Innovation

Executive Summary – 2

• Describe the need of such Innovation

Executive Summary – 3

• Describe the benefits to the beneficiary through Innovation

Executive Summary – 4

• Story line on the birth of this Innovation

Executive Summary – 5

• How does it educate the Beneficiary?

Executive Summary – 6

• Who is the targeted beneficiary?

Executive Summary – 7

• How will the beneficiary experience the difference?

Market AnalysisWhat is the potential for your program to be successful?

Outline in a sentence or two and insert inputs immediately below each question

• What is the total reach of your innovation? India and Global

• What are all the risks you foresee for your innovation and how do you plan to mitigate these risks?

• Information on Competing products / Services (Present as strength and weakness)

Strategy for Reachability

• How will your innovation reach the beneficiary?

Competition

• List current and potential competition for your innovation with the name of the

Company.

Testimonials

Charts/Pictures/ImagesOnly one picture per slide

Charts/Pictures/ImagesOnly one picture per slide

Charts/Pictures/ImagesOnly one picture per slide

Brief Profile of the Applicant