Awards Nomination Form

Nomination Fee
 Government  Nil
 Private  Rs. 50000/- + Taxes @23.9% = Rs. 61950/-
(Tax breakup: GST- 18%, Online Bank Transfer Charges- 5.9%)

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Select Sector :*
Award Category :*
Product/Project Title:*
Award Nomination Fee :*

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 Initiative

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Brief Description:*

(Maximum file size 1 MB in doc or pdf format)
Objective:*
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)