Updates & Events

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Nomination Form​

Please fill all the required fields (*) Please select captcha

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Nominee Information:

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(*) Please Enter the value for Name.
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(*) Please Enter the value for Title
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(*) Please Enter the value for Organization.
Please enter a 10 digit telephone number
Please enter a valid email address
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(*) Please Enter the value for Home Phone Please enter a 10 digit telephone number
Please enter a 10 digit Mobile number
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(*) Please Enter the value for Personal Email Please enter a valid email address

Nominee Profile:

Please describe the nominee’s community contributions, achievements and qualities that qualify him/her for consideration. :

Please include specific examples in the following areas:

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(*) Please Enter the value for Key Contribution
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(*) Please Enter the value for Nominee Activities
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(*) Please Enter the value for Unique Qualities
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(*) Please Enter the value for Additional Activities
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(*) Please Enter the value for Defining Word

Nominating Individual or Organization Information:

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(*) Please Enter the value for Name
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(*) Please Enter the value for Sponser Phone Please enter a 10 digit telephone number
Please enter a 10 digit Mobile number
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(*) Please Enter the value for Email Please enter a valid email address

Organization Profile: