Nomination Form

 

Name of the Person / Organization

Industry

Award Category ( Select any 3 categories )

Year of the establishment

Date of Incorporation

Name of the promoter of the Organization

Mobile No.

Email ID

Registered address

Town/City

State

Country

Pin Code

Website URL

Status of manpower strength of your company

Are you interested in Sponsorship of our event.

Person to be contacted full name

Designation

Mobile Number

E-mail Address

Message