Eterna REG form – CSDG2030

1 Company Details

2 Company Address

3 Primary Contact Person

4 Company Profile

5 Sustainability Profile

6 ETERNA Partnership Interest

7 Circular Economy Practices

8 ESG & CSR

9 Collaboration Opportunities

10 Certifications

11 Company Impact

12 Awards & Recognitions

13 Event Participation

14 Membership Category

15 Declaration

1 · Company Details

Step 1 of 15

Company Address

Registered Office Address

City

State

PIN Code

Country

Year Established

Primary Contact Person

Full Name

Designation

Department

Mobile Number

WhatsApp Number

Official Email Address

LinkedIn Profile

Company Profile

Company Overview

Maximum 500 words

Mission Statement

Vision Statement

Core Products or Services

Website URL

Instagram

Social Media Links

Facebook

Social Media Links

YouTube

Social Media Links

ESG & CSR

Does your company have:

Describe your CSR initiatives.

Certifications

Section 12 — Certifications. Please select applicable certifications:

Upload Certificates

📎Select file or drag here

Allowed: .pdf,.jpg,.jpeg,.png · Max. 5 MB

Company Impact

Section 13 — Company Impact

Waste diverted annually

Environmental Impact

Carbon reduction

Environmental Impact

Water savings

Environmental Impact

Energy savings

Environmental Impact

Number of beneficiaries

Social Impact

Women employed

Social Impact

Artisan engagement

Social Impact

Community projects

Social Impact

Green jobs created

Economic Impact

Sustainable revenue

Economic Impact

Market expansion

Economic Impact

Awards & Recognitions

Section 15 — Awards & Recognitions

Has your company received awards? Yes No

Awards

If yes — add one entry per award

Event Participation

Section 16 — Event Participation. Interested in participating in:

Membership Category

ETERNA Company Membership Categories

Select Membership Category Starter Partner — Small businesses and startups. Sustainability Partner — Companies with active sustainability initiatives. Strategic Partner — Large corporations and industry leaders. Impact Partner — Organizations focused on social and environmental change. Global Partner — International brands and institutions.

Declaration

I hereby declare that:

Declarations The information submitted is accurate. Our organization supports sustainable and ethical practices. We authorize ETERNA to review our application. I consent to the use of mine & organisation's photographs and videos for promotional purposes. We agree to participate according to ETERNA guidelines. We consent to the use of company information for partnership evaluation.

Authorized Representative Name

Designation

Date