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Award Nomination Form

Nomination Fee
 Government:  Complementary
 Corporate:  INR 50,000 + GST(23.9%) = INR 61,950/-
Note: GST 18% + (Online Bank Transfer Charges + Transfer GST charges) @ 5.9% = 23.9%

Award Profile

Select Sector:*
Project Category :*
Product/Project Title:*

Details of Applicant

Name:*
Designation:*
Name of Organisation:*
Address:*
City:*
State:*
Country:*
Postal Code:
Telephone No:*
(with area code)
Mobile No:*
(with country code)
E-Mail:*
Website:*
Facebook page of the Organisation:
LinkedIn page of the Organisation:
Twitter Handle of the Organisation:

Details of Project Implementing Agency

Name of Organisation:*
Address:*
City:*
State:*
Country:*
Postal Code:
Mobile No:*
(with country code)
Telephone No:*
(with area code)
Head of Organization:*
E-mail:*
Alternate E-mail:
Website:
Social Media profile of the Project:

Details of Project Initiative

Brief Description:*
(Maximum word limit of 2000 Characters)
Objective:*
Target Group:*

Geographical Reach
Please specify reach within India:
Please specify reach outside India:
When did it become operational:
Is it still operational:*
 Yes     No
Five points that make the Project innovative:
Five key achievements of the Project:
Five key challenges faced while implementing the Project and how they were overcome:
Five points that make the Project replicable:
Five points to elaborate on the scalability of the Project:
Documents publishing URL:
Facebook page of the Project:
LinkedIn page of the Project:
Twitter handle of the Project:
Upload Organisation Logo:*
(Maximum file size 1 MB in jpeg, jpg or png format)

Upload supporting documents:
(Maximum file size 1 MB in pdf or doc format)

Upload scanned copy of Authorisation Certificate:
(Maximum file size 1 MB in pdf or doc format)

Registration Fee*
 Online Payment
 

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