Award Nomination Form - Pravasi Odia Vikash Samiti

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Step 1 of 3

Please choose:

Nominating for whom ?

Name

First

Last

Name of the person filling the "Nomination"

Aadhaar No

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Relationship with Nominee

Name of the Nominee

First

Last

Mention the name of the Person or Head of organization being nominated for the award.

Communication Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone

Area of Significant / Outstanding Contribution (Bullet points within 150 words) :

Nominee’s length of volunteering service (i.e. number of years, or number of hours):

Nominees Photograph

Click or drag a file to this area to upload.

Demonstrated contribution to the fields listed in the Selection Process.

1. Demonstrated contribution to the fields listed in the Selection Process.

2. Demonstrated achievements of the nominee and the work for which he/she is being nominated.

Achievements Certificates and Photographs (Maximum 10 Photographs one photograph for each significant contribution)

Click or drag files to this area to upload. You can upload up to 10 files.

3. Demonstrated qualities (attitude, support provided, initiative) in their role as contributor.

4. Demonstrated evidence of innovation, initiative or obstacles which the nominee may have had to overcome to achieve their outcomes.