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NOMINATION FORM_2025

This document is a nomination form for various awards related to social responsibility and community impact, specifically targeting NGOs and other organizations. It requires detailed information about the applicant, the project for which the award is being claimed, and an undertaking of the accuracy of the provided information. Incomplete submissions or non-payment of fees will lead to rejection of the nomination.
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0% found this document useful (0 votes)
2 views

NOMINATION FORM_2025

This document is a nomination form for various awards related to social responsibility and community impact, specifically targeting NGOs and other organizations. It requires detailed information about the applicant, the project for which the award is being claimed, and an undertaking of the accuracy of the provided information. Incomplete submissions or non-payment of fees will lead to rejection of the nomination.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Nomination Form

Please download, fill up and return this form, duly signed and stamped, by email to
awards@icsf.in

Select Applicant Type:NGO

□Government □PSU □Corporate □Corp. Foundation □NGO □MSME □Individual□Start-up □CSR


Professional □Others……………………………………………………………..

Select Award Category

□Social activist of the year □Environment buddy of the year □Employee volunteering planner of the
Year □Employee volunteering executer of the Year □Disaster relief professional of the year □Social
entrepreneur of the year □Female Social entrepreneur of the year □Social Enterprise of the year
□Lifetime Achievement Award for CSR □ Young Leader in CSR Award □Global impact leader (For
international only) □Global impact leader (For overseas only) □Best (CSR) Initiative □Most
Responsible Business Practice □Best Community Outreach Program in CSR □Best CSR program in

Education award □Best Environmental Sustainability Program□Best Healthcare and Wellness

Program□Best Employee Engagement Program□Best Innovation/Incubation through Csr

award□ Best Social Impact Program□CSR Diversity and Inclusion Award □Best CSR program in

Women Empowerment□Quality Education Excellence Award□Developing Rural India through CSR

Award□Best Sanitation and Hygiene project in CSR □Skill Development and Livelihood

Enhancement in CSR Award□Emerging Leader Award□Social Impact Leadership □Social Impact


Leadership □Diversity & Inclusion Leadership Award □ Women Leader Award□Educational

Leadership Award□Healthcare Leadership Award□Global Leadership Award□Technology

Leadership Award□Global Impact Leader Award□Ethical Leader Award□Entrepreneurial

Leadership Award□Pioneer of Change Award □ Leadership Impact Award□Creative Thinking

Award□Community Builder Award□Digital Transformation Leader Award□Global Leadership

Award□Lifetime Achievement Award□Others (Check brochure for more


categories____________________________)

1 Basic information:

Name of the Organisation/


Nominee

Company website URL

Date of incorporation

Full Address

State & Pin code

Nature of the business & its


products/services

Award Category

2 About the program / project for which award is being claimed:

Name of the Project


Period of Operation of Project

Locations of Project

No. of Beneficiaries for the Year

One time Cost

Operational Cost

Any other awards received

Sponsor of the project

Details of Project

Short- term and Long-term Impact

Services Rendered

3 Any other information (If applicable, Attach separate sheet)

Please note nominations submitted with incomplete form, in respect of information sought
and/or non-payment of nomination fees will be rejected.

Undertaking:

I/We hereby declare that all the information given above is true and correct to the best
of my/our knowledge. I/we understand that this application shall be processed by a team
of the experts and placed before the jury. Additional information as required by the jury
will be furnished by me/us in a particular time frame. If required, I/we shall attend a meeting
with the Jury about my/our nomination.
Name Signature Date

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