ET Now Awards Nomination Form

1
Full Name* This field is required.
First Name
Last Name
2
Job Title* This field is required.
3
Organization/Company Name
4
Industry* This field is required.
Please Select
Please Select
Technology
Finance
Healthcare
Education
Media
Retail
Real Estate
Other
5
Years of Experience* This field is required.
6
City and Country* This field is required.
7
LinkedIn Profile (Optional)
8
Email Address* This field is required.
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9
Phone Number* This field is required.
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10
Alternative Contact (Optional)
Please enter a valid phone number.
11
Type a question
Please Select
Please Select
Top 100 Game-Changers of the Year
Innovators to Watch
Leaders Transforming Industries
12
Brief Bio(100-150 words)
13
Professional Achievements(250-300 words)
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Large
Normal
Small
Ok
Ok
14
Impact Statement(150-200 words)
15
Reasons for Nomination(150-200 words)
16
Supporting Links (Optional)
17
Upload DocumentsAttach any documents to support your nomination (e.g., certificates, awards, news articles, case studies).
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Max. file size: 10.6MB
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18
Confirmation of Accuracy
I confirm that all information provided in this form is accurate to the best of my knowledge.
19
Permission for Use of Information
I consent to ET Now Awards using my profile details for award-related promotions and announcements.
20
Acceptance of Terms
I have read and agree to the Terms & Conditions and Privacy Policy.
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