Submission of Nomination

Nominators need to fill up the following form properly and include pictures of their signature and seal (optional) and then prepare a PDF file of the document and send the same to meetrioc@gmail.com. There is no Entry Fee for participation.

Nomination Form

Name of the nominee:

Institutional position and affiliation of the nominee:

Contact details:

Physical address:

Phone no:

Email:

Public scholarly web page of the nominee (if available):

What is unique and original about the research/ contribution/ creative works? (write within 100 words)

What are/is the social implications /impact of the contribution? (write within 200 words)

Any special feature you want to talk about? (within 100 words)

A pdf file of any specific thesis / dissertation / publication to be attached.

Name of the nominator:

Institutional position and affiliation of the nominator:

Contact details of the nominator:

Address

Phone

Email

I do hereby declare that the information provided by me are true to the best of my knowledge and I also declare that I will abide by all the terms and conditions of the Rupkatha Award Committee.

Signature of the nominator with seal

[Seal optional]