Organization Name:
Type of Organization: Public SectorPrivate SectorNot for ProfitOther If Other, please specify:
Does your organization provide assistive tech products and operate an offline store? YesNo
Head Office Location (City, Province):
How many buildings or sites does your organization operate in total?
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Do you have at least one building that is open to the public? YesNo
How many buildings would you like to register: —Please choose an option—OneTwo
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Name of Building:
Address:
Type of Facility BankShopping MallOffice BuildingRestaurantHotelLibraryMovie TheatreRetail StoreOther
Please specify:
Approximate Size (sq ft):
Is the site currently in use? YesNo
Does your building have any accessible features like ramps, tactiles etc that may adhere to any of the guidelines? (e.g., NBC,2016, Harmonised Guidelines and Standards for Universal Accessibility in India, 2021, ISO:21542-2021) YesNot SureNo If yes, please specify:
What piques your interest in participating in this pilot? (Select all that apply) Improve the accessibility of your builtTo know the accessibility score of your builtTo gain EASE certificationAlign with internal DEI or ESG goalsOther If Other, please specify:
Does your organization have internal personnel (e.g., facilities manager, operations lead, or accessibility coordinator) who can help us coordinate the pilot by assisting with site visits and providing building-related documentation and information? YesNo Back Next
Full Name:
Job Title:
Email:
Phone Number:
Would your organization be open to being acknowledged publicly as a pilot participant? YesNo
Would your organization be open to sharing a testimonial or participating in a case study? YesNo
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