REGISTRATION FOR AWARDS
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TITLE
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Full Name of the Applicant
Award Category's
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Present Home address
Company / Business / Institute etc. Service Address
Profession
Date of Birth
MM
/
DD
/
YYYY
Office Telephone number
Home Telephone number
Mobile WhatsApp number
Email address
Academic Qualifications (if applicable only)
Professional Qualifications (if applicable only)
Duration of your Service
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If you have more to say about your Service
Submit
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