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Nomination Type* :

Individual

Organizational

Name of the Nominee* :

Designation* :

Mobile Number* :

Email id* :

Date of Birth* :

Name of the Organization* :

Year of incorporation* :

Ownership Type* :

Other Ownership Type:

Complete Address* :

Country* :

State* :

Postal / Zip Code* :

Contact Person Name* :

Mobile Number* :

Designation* :

Email id* :

Direct Landline Number :

Website URL* :

How did you hear about the Global Leader Awards? :

Nomination Category * :

Nomination Sector*:

Upload Organization / Individual profile :

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Additional Information :

I wish my nomination to be considered for the Global Leaders Awards. I understand that it is my responsibility to provide all materials required for selection. I understand that the decision is final and that no communication with the organization or the selection panel will be entered into.

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