IAWC State Awards Nomination Form

Approved under MCA, GOVT. OF INDIA
Registered under section 12A & 80G (Tax Exemption under income tax act. 1961)
Registered under NGO Darpan (National Institution for Transforming India GOVT. OF INDIA)

www.iawc.in

iawc.office@gmail.com

+91 95921 93175, +91 95921 93175

Sri Muktsar Sahib -152026 Punjab, India

Personal Information

Full Name (as Aadhaar) *

Please provide full name.

Also known as

Father's Name *

Please provide your father's name.

Mother's Name *

Please provide your mother's name.

Date of Birth *

Please provide your date of birth.

Gender *

Please select your gender.

Address *

Please provide your address.

City *

Please provide your city.

State *

Please provide your state.

Phone Number *

Please provide your phone number.

Email *

Please provide a valid email.

Identification & Profession

Aadhaar Card Number * 12-digit Aadhaar number

Please provide Aadhaar number.

Aadhaar Copy (Self-attested) *

Choose file... Max 2MB (PDF, JPG, PNG)

Please upload your Aadhaar copy.

Profession/Field of Work *

Please provide your profession.

Organization (if any)

Achievements & Contributions

Brief Description of Work & Achievements * Describe your major achievements in your field (300-500 words)

Please describe your achievements.

Awards & Recognitions (if any) List any previous awards or recognitions received

How have you contributed to the promotion of your specific field? * Explain your contributions to your field (300-500 words)

Please describe your contributions.

References

(if any): How has the nominee contributed to the promotion of their specific field?

Reference 1 Name *

Please provide reference 1 name.

Reference 1 Contact *

Please provide reference 1 contact.

Reference 2 Name *

Please provide reference 2 name.

Reference 2 Contact *

Please provide reference 2 contact.

Supporting Documents

Attach Supporting Documents

Choose files... Certificates, articles, photographs, or testimonials (Max 5MB, PDF/JPG/PNG)

Declaration

I hereby declare that the information provided above is true to the best of my knowledge. I agree to abide by the rules and decisions of the Indic Arts Welfare Council regarding the selection process. I have read and agree to the Terms & Conditions. *

You must agree to the declaration to proceed.