Submit Nomination

Name of the Nominator(required)
Complete Postal Address
Phone Number
Email(valid email required)
Relationship with the Nominee(required)
How long and how do you know the  nominee?(within 100 Words)(required)
Name of the Nominee :(required)
Mother/ Father’s Name :(required)
Permanent Address :(required)
Present Address :
Phone Number : (Land/Mobile)
Email ID :(valid email required)
Website
Category Applied For title(required)
Description about nominee's involvement(within 150 words)
Important journalistic works done so far ( explain within 
200 words , how nominee was made a difference through the 
practice of journalism)  
Why you feel the report/article/ programme is worth considering 
for the category: (explain , within 200 words, about the 
originality and impact, if any, of the work)