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Registration Form
Award Nomination Form
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First Name
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Last Name
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Email
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Phone Number
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Date of Birth
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DD
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YYYY
Gender
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Female
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Age
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Marital Status
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Single
Married
Divorced
Widowed
Country
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State
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Pincode
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City
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Permanent Address
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Category of Nomination
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Highest Educational Qualification
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Profession
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Organization of Work
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Designation
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