Nomination Form: Eminent Women's Excellence Award
Nomination / Application Form : Individual / Corporate
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Name in Full (Individual / Corporate ) to be printed on Certificate / Trophy *
Award Category , (#### Award 2023) *
Designation / Professional Affiliation / Organization *
Full Address with pin code *
Phone number *
Email *
Qualification and Experience / Achievement (Sector Specific) *
Details about Fee Paid RS 3000/- for Individual and Rs 5000 for Institute *
Details about admin charges paid (Mode/UTR/Date/Amt etc)
Additional Information (if any)
Agreement : I will abide with terms and conditions of Awards
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