Salaam India Awards 2014

Nominate

Salaam India Awards
Nominations have been closed wef 3rd September, 2014.

Details of the Nominee

Name of the Nominee
Address:
Phone:
District:
State:
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Date of Birth: (DD/MM/YYYY)
Sex:
Male Female
Details of incident/activity

Details of the Nominating Person

Please check if same as (Nominee)
Name
Address:
Phone:
District:
State:
Pin:
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Scanned copy of testimony should have the details such as the date of the act, description of the brave act and should be attested by a gazetted officer or any elected public representative.

 I hereby nominate the above person for Salaam India Awards, and the details provided are true to the best of my knowledge and belief.