The document is an application form for enterprises and entrepreneurs to be showcased at the "TiE Entrepreneurial Summit" event in December 2012. Applicants can nominate themselves as an individual, group, or ecosystem working in the areas of health, serving Indian consumers, or tech that transforms. If selected, applicants agree to provide information about their enterprise and attend required meetings in Mumbai. The application collects details about the applicant, enterprise, achievements and impact, and requires references for consideration.