ASEAN Business Awards

Nomination Form (Closing Date 31 July 2018)

IMPORTANT INSTRUCTIONS

1 "Nominee” refers to the Nominee Company applying for this Nomination, which may be, amongst others, a Sole Proprietorship, Partnership, Limited Liability Partnership, or Private Limited Company.

2 All fields in the application form are compulsory and to be completed in English, unless indicated otherwise. Where information is not applicable, please indicate "N.A.".

3 All entry submissions, supporting documents and materials are to be in English.

4 Please fill in all the modules according to the requirements of respective Awards. Kindly refer to the table below for complusory modules for each Award category:

Modules
Type of Awards A B C D E F G H I J
Priority Integration Sectors (PIS) x x x x x x x
SME - Growth x x x
SME - Employment x x x x
SME - Innovation x x x x
SME - CSR x x x x
Friends of ASEAN x x x x x x x
Young Entrepreur x x x x x x
Women Entrepreneur x x x x x x
Sustainable Social Enterprise x x x x
Family Business x x x x x x x

5 Kindly use the below exchange rate for conversation:

Exchange rate of ASEAN Currency to USD.

The table shows the USD equivalent for 1000 units of ASEAN Currency
2015 2016 2017
Cambodia Riel 0.2499 0.2504 0.2511
Indonesia Rupiah 0.0751 0.0754 0.0750
Laos Kip 0.1249 0.1253 0.1234
Malaysia Ringgit 258.0660 241.9113 232.8248
Myanmar Kyat 0.8815 0.8233 0.7447
Singapore Dollar 728.1830 724.7103 724.5563
Brunei Dollar 738.9798 735.4072 731.3918
Thailand Baht 29.3069 28.4049 29.5476
Vietnam Dong 0.0461 0.0452 0.0445
Philippines Peso 22.0216 21.1057 19.8738
source: www.oanda.com

6 Please fill in the Declaration sheet which is the last worksheet of this Nomination Form.

7 Once completed, please submit this Nomination Form together with all required supporting documents to AccessASEAN@sbf.org.sg.

Knowledge Partners:
Nominee Background
Name of Organisation
Listed / Non-Listed
Organisation Address
Year of Incorporation
Business Description
(maximum of 150 words)
Chief Executive Officer or equ
Key Personnel Name:
Designation:
Contact:
Has the company been the subject of an investigation by a governmental body, civil complaint or crimin
complaint? If yes, please provide details below.
Please provide details, if you have answered "YES"
above:

Growth

A. Company's Financial Statement (Please convert all figures to USD)

2015 [D
1. Financial year-end 2016 [D
2017 [D
2015
2. Turnover 2016
2017
2015
3. Profit before tax 2016
2017
2015
4. Total assets 2016
2017
2015
5. Shareholders’ equity (excludes minority interests) 2016
2017
2015
6. Number of employees 2016
2017

B. Company's financial performance over a minimum of 3 financial years

2015
1. % Profit Growth for each year 2016
2017
 2015
2. % Growth in Annual Revenue for each year 2016
2017
2015
3. % Capital Growth for each year 2016
2017

C. Company's growth rate

2015
1. % Number of employees increase for each year 2016
2017
2. % Number of new branches / subsidiaries established
inside the country or overseas last year.

D. Company's provisions in place for longer term sustainability

2018
2019
1. Market size in the next three to five years 2020
2021
2022
2018
2019
2. Market share of the company over other competitors in
2020
the same industry and in the next three to five years
2021
2022
2018
2019
3. Market supply & demand in the next three to five years 2020
2021
2022

4. Illustrate the company's capability to take advantage

on increasing its market share and meet market demand

5. How does the company support forward and backward

regional linkages?

E. Company's plans for future/further expansion into ASEAN & international markets

1. Demonstrate the company's plans to have new

branches, subsidiaries, joint ventures, partnerships, or
other future plans to expand product distribution and
company operations in other ASEAN countries in the next
five years
2. Illustrate the company's expansion plans and the
corresponding number of employees they expect to
recruit in the next five years

Knowledge Partners:
Executive Officer or equivalent:

civil complaint or criminal

[DD]/[MM]
[DD]/[MM]
[DD]/[MM]
al markets
Partners:
For Corporate / Individual
A. Individual Name of Shareholder Nationality Designation in Orga
Shareholders 1
(if applicable)
2
3
4
5
B. Company Name of Shareholder Country of Registration Business Activity
Shareholders 1
(if applicable) 2
3
4
5
Note: On the name of shareholder, kindly add more lines if needed

Knowledge Partne
Designation in Organisation Percentage of Shareholding

Business Activity Percentage of Shareholding

Knowledge Partners:
For Young / Women Entrepreneur
A. Board & Non-Board Committee List of Committee
Membership 1
2
3
4
5

Knowledge Partners:
 Designation Percentage of Shareholding

Knowledge Partners:
Employment

Nominee's demonstration of people development strategies that have created a committed, motivated and

A. Company's staff retention

2015
1. Employment turnover for the last three years 2016
2017

B. Company's work environment

1. What are the health and safety programs of the company?

C. Company's policy on employees' professional and career development

1. What are the professional training and development programs available to
employees?
2015
2. Training expenses per employee at various levels for the last three years. 2016
2017

3. What is the company's program on its employees' career path and succession
planning?

2015
4. Percentage of Salaries and Benefits to Revenue for the last three years 2016
2017

D. Company's policy on safeguarding employee rights, interest, benefits and welfare

1. What are the implemented performance-based wage system and effective

performance management systems that reward employees according to their
contributions and performance?

2. What are the health benefits given to employees?

3. What are the provision of acceptable terms and conditions including leave
entitlement, welfare, retrenchment benefits and housing?
4. How does the entity ensure timely payment of wages?

5. How has the company instilled a culture of flexibility and innovation within your
organisation?

E. Company's policy on engaging employees and aligning them with business goals
2015
Meetings
Annual
Regular
Special
2016
Meetings
Meeting counts for the last three years
Annual
Regular
Special
2017
Meetings
Annual
Regular
Special

What are the company's policies put in place to encourage senior management
to commit to the development and management of people?

What are the channels provided to employees to enhance open communication

to the management?

Knowledge Partners:
mmitted, motivated and effective workforce.

welfare
goals
Total Number of % of those who
Employees Attended

Total Number of % of those who

Employees Attended

Total Number of % of those who

Employees Attended
Innovation

Nominee's proven ability to create, nurture and develop new products or services that include, but are not
production, performance, marketing and distribution of their product or service.
(Required: Kindly provide supporting documents for the information provided)

A. Company's Customer & Market Insights

1. What are the actions taken by the company to measure customers' satisfaction on their
product and/or services?

2. What is the pricing strategy being followed by the company?

3. How does the entity monitor the competition in the industry?

4. Kindly provide the entity's ROE for the past three years.

B. Company's Innovation as a value throughout the business

1. What is the enitity's innovation policy? How does the management promote innovation
throughout the organisation? Describe the approval process in place for new products
and/or services.

2. What is the entity's % of Research and Development on Revenue ratio?

3. What is the amount and percentage of revenue directly generated by the entity's
innovation projects over the entity's total revenue for each year in the past three years?

C. Company's Innovation process

1. What are the process on introducing new products and/or services? How does the
entity monitor the performance and ensure the quality of newly introduced products
and/or services?

2. How does the entity assess the progress of innovation project?

3. How does the entity promote the culture of innovation?

Knowledge Partners:
s that include, but are not limited to the invention, design,

2015
2016
2017
edge Partners:
Corporate Social Responsibility (CSR)
Nominee's CSR strategy that integrates responsible business practices into their mainstream operations re
impact in the workplace, the marketplace, the environment or the community.

A. CSR
1. % of CSR Expense on Revenue

B. Company's CSR Framework

1. What is the entity's corporate responsibility framework? What are the principles
governing the entity's corporate responsibility framework?

2. How does the entity evaluate the impact of the CSR activity? Discuss the recent
CSR of the entity including the measures used to evaluate the impact.

3. How does the entity protect and balance the interest of stockholders, stakeholders
and community to mitigate conflict of interest?

C. Company's compliance with the International guidelines and standards on CSR

1. How does the entity ensure its overall compliance with the international guidelines
and standards on CSR?

2. How does the entity meet the customers needs? Discuss the entity's initiatives on
achieving organisation's objective on leadership, decision-making and ongoing
improvement on processes.

3. What is the company's activities to manage the environmental effect of business

practices?

4. Enumerate some of the companies guidelines that promote fair treatment of

workers and their involvement in the organisation.
5. What are the entity's activities to secure health and safety in the workplace?

6. What is the entity's activities to understand their economic, environmental and

social impacts? How does the entity ensure compliance with the sustainability
reporting framework?

D. Company's Commitment to CSR

1. How does the entity communicate the CSR activities within the organisation and in
the community?

E. Company's implementation and measurement of CSR Program

1. How does the entity manage funds for CSR activities? Kindly provide CSR
Management Budget Report for the last three years or any equivalent document.

2. How does the entity evaluate the economic impact of CSR activity on its
stakeholders at the local, national and global levels? (e.g. profitability, investment in
intellectual capital, employee compensation, community development, customer
satisfaction)

3. How does the entity evaluate environment performance of a CSR activity on living
and non-living natural systems, including ecosystems, land, air and water? (e.g.
energy input, air emissions, greenhouse gas emissions, land and ecosystem use,
incidents and non-compliance)

4. How does the entity evaluate the social impact of a CSR activity on the people and
on the community? (e.g. 50 out of 70 women in the community are given livelihood
programs, % of company scholars in the community, % of discounts and/or funding
expense over total revenue)

Knowledge Partners:
stream operations resulting in a positive

SR
Sustainable Social Enterprise

A. Entrepreneurial Spirit and Innovation

1. Describe how your company had demonstrated entpreneurial spirit

and maturity, culture of flexibility and innovative thinking.

B. Leadership and integrity

1. Demonstrate how your company vision, purpose, ethics and

values had benefited social and under-priviledged groups and
earned their respect.

C. Strategic direction and sustainability

1. Demonstrate how your business concepts or plans ensure

scalability of the business.

D. Social, environmental and community impact

1. Demonstrate an innovative approach to the way in which the

enterprise operates and/ or meet its own primary objectives.

2. Illustrate how the company makes a positive impact on

society/communities and/or environment.
2. Illustrate how the company makes a positive impact on
society/communities and/or environment.

3. Demonstrate how the company makes a positive impact on the

lives of individuals

4. Projects that have the potential for future development growth and
sustainability

Knowledge Partners:
edge Partners:
Priority Intergration Sectors (PIS)
Nominee's capacity to pursue sectoral integration in one of the 17 PIS of ASEAN.

A. For revenues sourced from goods sold, ASEAN Country where Raw Ma
list the top five ASEAN countries where 1
the entity source or delivers the following: 2
1) raw materials are imported, and
2) finished goods produced are exported. 3
If the goods are not purely from ASEAN, 4
provide an evidence that the ASEAN 5
Value Content of the goods are not less ASEAN Country where Produce
than 20%. 1
2
3
4
5
B. For revenues sourced from services ASEAN Country where company
rendered, list the top 5 ASEAN countries 1
where the entity source or delivers the 2
following: 3
1. Provides its services
4
2. Sources its labor
If the company also provides services 5
available in ASEAN languages in non- ASEAN Country where compan
ASEAN countries, list the top 5 ASEAN 1
target markets of the entity. 2
3
4
5
ASEAN Target
1
2
3
4
5

Knowledge Partners:
of ASEAN.

ASEAN Country where Raw Materials are sourced from

SEAN Country where Produced Goods are exported to

SEAN Country where company provides its services to

SEAN Country where company sources its labor from

ASEAN Target Markets

Knowledge Partners:
Family Business
1. Describe the family business history and provide
key miletones of success and/or growth

2. Provide the family business organization

hierarchy and/or structure e.g., organization chart
3. Provide past awards and accolades, if applicable,
e.g., business awards, public service awards etc.
Knowledge Partners:
Additional Documents to be attached

Submission Checklist
1 Copy of the Registration Certificate of the Company
2 Audited Financial Statements for the past 3 years (if unaudited, provide statement of ma
3 Copy of latest Annual Report
4 Sustainability / Corporate Social Responsibility Report
5 Copy of Residence, Passport or Identification Card of the Nominee (CEO of the Compa
6 High Resolution Company Logo
7 Supporting documents for Module H
8 Corporate Governance Manual
9 Any other supporting documents which will help in your nomination (eg video)
 Submitted?
pany
ars (if unaudited, provide statement of management account)

Report
Card of the Nominee (CEO of the Company, or equivalent)

p in your nomination (eg video)

Knowledge Partners:
Declaration

I hereby declare that the facts stated in this application together with the accompanying information are tru
in this information form and the attached profile is true and correct.

I understand that the information I provide in this application will be used by the independent panel of judg
purpose.

I further consent to the use of such information for research, educational or any purpose as long as such u

If I am selected as a finalist or award recipient, I hereby authorize the release and use, in connection with t
or audio recordings of me in any form of media, from any other sources.

Name

Designation

Telephone

Email

Date

By submitting this form, I hereby agreed that all information are accurate.

Please indicate the Award(s) which you are submitting for:

Priority Integration Sectors (PIS) Incomplete Module No
SME - Growth Incomplete Module No
SME - Employment Incomplete Module No
SME - Innovation Incomplete Module No
SME - CSR Incomplete Module No
Friends of ASEAN Incomplete Module No
Young Entrepreur Incomplete Module No
Women Entrepreneur Incomplete Module No
 Sustainable Social Enterprise Incomplete Module No
Family Business Incomplete Module No

Contact Person
Name

Designation

Telephone

Email

Please submit this Nomination Form together with all required supporting documents to AccessASEAN@
panying information are true and correct, to the best of my knowledge, and satisfy the eligibility criteria. I declare that

independent panel of judges and knowledge partner in selecting awards recipients and I consent to the use of such i

purpose as long as such use does not divulge my identity or the identity of the company.

nd use, in connection with the ASEAN Business Awards 2018, of my name, my company's name, non-financial inform

rmation are accurate.

Please indicate which PIS catergory(s) you are submitting for:

Agri-based No ICT
Aviation No Infrastructure
Automotive No Logistics
Electronics No Retail
Energy No Rubber-based
Finance No Textile
Fisheries No Tourism
Food & Beverage No Wood-based
 Healthcare No

ments to AccessASEAN@sbf.org.sg

Knowledge Partners:
iteria. I declare that the information provided

to the use of such information for that

non-financial information, photographs, video

ubmitting for:
No
No
No
No
No
No
No
No