Complete and submit your application on or before 5pm on Friday, 16 September 2016



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Please note that if you are successfully ranked, this company bio description will appear in our gala awards brochure

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The following questions relate to the additional awards categories and responding to the below series of questions relating to these categories is optional:
 Innovative new technology award in association with Google

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 Export award in association with Intel

 R&D award in association with LinkedIn

 Impact award in association with Paypal

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 Leading Female award in association with Vodafone

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I certify that the financial information provided in this form is accurate.
I DO NOT agree to have company revenue disclosed/published in publications or to third parties determined by Deloitte.
I DO NOT agree to have our company's percentage growth disclosed in this manner.
I DO NOT agree to have my Fast 50 Submission put forward by Deloitte for the Fast 500 EMEA programme.
I DO NOT agree to have my Fast 50 Submission put forward by Deloitte for the Fast 100 Global programme.