Nomination Form

Send your nomination at: deepak.singh@cioaxis.com

For questions regarding the ‘Innovative CIO Awards 2020’ Awards
and Nominations, please call at +91-8076364595.

Section-A: Organizational Details

Please answer all questions in this section to let us understand your organization. Please provide information as you wish to have it
appear should your organization be selected as an ‘Innovative CIO Awards 2022’ honoree.

General Information

Name Mr / Ms / Dr /
Designation
Role in Organization  Decision Maker  Influencer  Evaluator  User
Organization
Industry Vertical
Address for
Dispatching Memento
City State Pin Code
Mobile Landline
Office E-mail Personal E-mail

Company Information (Mandatory)

Total No of Employees
Turnover (in INR)
Designation of your reporting authority
Does IT decision happen in India?  Yes  No  Partially
Number of Desktops / Laptops / Servers / VMs

Section-B: Details of IT at the organization

1. What is your organization’s IT Budget FY 2021-22?

 Less than 25,000 USD  25,000 – 50,000 USD

 50,000 – 1,00,000 USD  More than 1,00,000 USD

2. Which are the areas in IT, you and your organization still facing challenges and need to address in
driving strategic value from IT in this challenging time? Mandatory (Mention areas as many as you are
planning to execute)

A. ……………………………………………………
B. ……………………………………………………
C. ……………………………………………………

3. Please specify your IT projects (max 2 projects) from the below mentioned technology verticals, which
you have executed in FY 2021-22, and the highlight the innovation part in the entire project. Mandatory
(Max 1000 words total)

a) Scope of the project (50 words):

b) Business Needs (50 words):
c) Challenges faced (100 words):
Nomination Form
Send your nomination at: deepak.singh@cioaxis.com
For questions regarding the ‘Innovative CIO Awards 2020’ Awards
and Nominations, please call at +91-8076364595.

d) Solution implemented (200 words):

e) Benefits Achieved (200 words):
f) Reasons you consider this initiative to be innovative (200 words):
g) Steps taken to assure that results (the innovative project executed) would continue to be delivered (200 words):

4. Technologies deployed for above-mentioned project implementations: (multiple selection permitted)

 Data & Analytics  Business Critical Apps Integration  Cloud Services
 Digital Workplace  Disaster Recovery  Internet of Things (IoT)
 Security Transformation / Zero Trust  Mobility & Wireless  ERP / SCM / CRM
 ML / AI / Automation  IT Infra Transformation  Collaboration Solutions

5. Are you planning to deploy any of the IT solutions to unlock the next phase of digital transformation in FY
2021-22: (multiple selections permitted?)
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Section-C: Declaration
6. I would like to refer below-mentioned CIOs / IT Leaders to nominate for Innovative CIO Awards 2022:

S. No. Name Email (Office Email) Mobile

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I hereby undertake that the information furnished above is accurate to the best of my knowledge.

Name

Date
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