Lt.DIPANKAR GHOSH MEMORIAL AWARDS
Award Nomination Form
Nominated/Authorised Person
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Organization name
Position
E-mail
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Phone Number
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Area Code
Phone Number
Nominator:
Person submitting the nomination
Full Name
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First Name
Last Name
Company
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Position
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E-mail
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Phone Number
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Area Code
Phone Number
Nominee Information
Please indicate details about your nomination
Categories:
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Best School
Best Sport Person
Best Cultural Activitist
Best Social Worker
Best Social Development Theme(Execute)
Best Anganwari Centre
Best Foreign Contributer
Person of the Year
Best Blood Donar Org.
Best Tourism Development Org.
Describe
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Submit
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