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IP Director / HOD of the year
Whom are you nominating
Yourself
Others
If nominating others, your details
Name:
Contact No:
Email:
Occupation details:
Currently associated with:
Have you obtained consent of Nominee
Yes
No
Basic Details of The Nominee
Name:
Contact No:
Email:
Name of the institution currently associated with:
Details of the Nominee's Institution
Name of Institution:
Address:
Name of the Director:
Name of the department:
Contact No of the Director:
Email of the Director:
Reason for nomination
Explain why the nominee deserves the selected Honour:
Achievements of the nominee:
List the contribution for Intellectual Property awareness by the nominee:
(Please specify remarkable achievements in the last academic year)
Attachment: