Individual AI Awards – Nomination Form

ET Edge AI Disruptors Awards 2025 – Individual Nomination Submission

Nominate a standout leader in AI who’s redefining the future of business, innovation, and society. Please complete all fields—link to supporting materials as needed. Submissions close on 30^th August 2025.

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Event Name

Section 1: Nominee Details

Nominee Full Name*

Nominee Title / Role*

Nominee Organization*

Nominee Email*

Nominee LinkedIn Profile / Social Handle (URL)*

Nominee Phone Number*

Section 2: Referrer Details

Your Name (Referrer)

Nominee Location (City, State/Country)

Your Title / Relationship to Nominee

Your organization

Your Email

Your Phone Number

Section 3: Award Categories

Select the category you're nominating for*

Section 4: Nomination Justification

Briefly describe why this person deserves this award (Min - 100-word summary)*

Explain their achievements or contributions in detail (Min - 300–500 words)*

Project(s) led or contributions | Measurable impact (metrics, KPIs, outcomes) | Leadership, innovation, or influence

Upload supporting materials*

Drop files here or

Accepted file types: pdf, jpg, png, mp4, jpeg, Max. file size: 999 MB.

1–2-page personal resume / CV | Links to publications, projects, case studies, demo videos, or press

Section 5: Impact Evidence

Provide quantitative evidence or metrics*

Drop files here or

Accepted file types: pdf, jpg, png, mp4, jpeg, Max. file size: 999 MB.

(e.g., % efficiency gained, team size, audience reached, sessions taught, funding raised, etc.)

Describe qualitative impact*

(e.g., culture change, thought leadership, ecosystem influence, mentorship, inclusivity, ethics)

Declarations & Consent*

I hereby consent to retain my information on TSSL database or may be shared with partners/ sponsors of ET Edge Events for the purpose of communicating on the products and services of my interests. I also accept Privacy Policy, Terms of Use & Terms and conditions. If I do not intend to receive such communication, I will send an email on et.edge@timesgroup.com.

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UTM Medium

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UTM Campaign

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Individual AI Awards – Nomination Form

ET Edge AI Disruptors Awards 2025 – Individual Nomination Submission

Section 1: Nominee Details

Section 2: Referrer Details

Section 3: Award Categories

Section 4: Nomination Justification

Section 5: Impact Evidence

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