ALL FIELDS MARKED WITH * ARE MANDATORY

Nominee Details


Description of Contribution: (Provide a detailed account of the nominee’s work and achievements in the selected field.)

(Explain how the nominee’s work has made a significant difference or brought about positive change.)

(Attach any relevant documents, publications, or media coverage that support the nomination.)

(Please provide a comprehensive bio data of the nominee, including personal background, career highlights, and any other pertinent information that showcases the nominee’s qualifications and suitability for the award.)

Nominator Details

Undertaking: I hereby declare that the information provided in this nomination form is true and accurate to the best of my knowledge. I understand that any false information may lead to the disqualification of the nominee.




Can't read? click here to refresh