Deprecated: mysql_connect(): The mysql extension is deprecated and will be removed in the future: use mysqli or PDO instead in /home/ennovate1234/public_html/cecin.org/cecaward/connection.php on line 12 Part - I Key Details Category : Individual Media-Newspaper, Magazine, Radio, Community Radio, Television & Online Filmmaker Advertising Agency Developmental Organisation Civil Society Organisation Educational Institution Theme : Climate Change Communication Water Sanitation and Hygiene (WASH) communication Biodiversity Conservation Communication Others if others, pl specify: Type of Environment Communication Initiative : Communication Programme Campaign Public Service Announcement (PSA) Advertisement(s) Jingle Film Others if others, pl specify: Funded By : Initiative Title : Initiative Start Date : Initiative End Date : Part - II Description Initiative Purpose and Goals : Description (Please describe in max 250 words the initiative) : Target Audience (Please mention the initiative target group) : Medium Used : Print Television Radio Online Film Traditional Media Interpersonal Communication Others if others, pl specify: Activity Details (Frequency and duration if print or electronic media used) : Achievements, Outcomes and Impact considering the evaluation criteria (Achievements: Extent to which initiative goals were achieved; Outcome: Results of initiative implementation; Impact: Initiative influence on target audience) (Submit outreach data, if any, kindly attach relevant documents i.e. activity reports, ppts, documentation, collaterals etc in Part III) : Sustainability (How initiative has been sustainable over the years and future sustainability) : Elaborate why your entry is a game changer? (Is it innovative? Can it help sensitise & engender positive behaviours? Has it galvanised responsible action for a sustainable future? Kindly attach relevant documents, testimonials etc. if any, to show change effected by initiative in part III). : Part - III Documents (upload here) Photographs (Max 4 photos can be uploaded in jpeg, png and gif formats only) : News Coverage (Max 4 news clippings can be uploaded in jpeg, png and gif formats only) : Videos (Please paste the film link here i.e. YouTube or Vimeo, etc) : Audios (Please paste the sound cloud link etc.) : Other Documents (Max 4 Collaterals, PPT, Report or other documentation) : Full Name of Awardee (As it should appear in the citation and trophy, if awarded) Part - IV Entrant Details Name : Designation : Organisation : Address : Gender : Male Female Other Gender City : State : Country : PIN Code : Mobile : Phone : Fax : Email : Website : Entry Type Date Fee Early Bird Thursday, September 15, 2016 FREE Final Call For Entry Saturday, October 15, 2016 INR 1000 GALA AWARD NITE: Friday, February 17, 2017 I hereby confirm that the particulars provided above are true to the best of my knowledge. I am also the authorised representative/ person to apply for this award.