Fields Marked with * are mandatory
Name of the nominated person *
Date of Birth (nominated person)
Mobile (nominated person) *
E-mail (nominated person) *
Designation *
Qualifications
Subject of Specialisation
Current Working Organisation*
Total Experience
What makes you think that your friend deserves this award (not more than 200 words)*
Did you inform him/her that you have nominated* YesNo
Your name *
Your Mobile Number *
