Nomination Form

Organisation’s Details
Legal Name Of The Organisation*
Address Of The Corporate Office*
PAN No*
GST No*
TAN No*
Your Name*
Designation*
Email ID*
Mobile Number*
Alternate Contact Number
Category Of Nomination (if you want to apply for more than one category, please fill the form again for another category. The nomination is not limited to one category, you can nominate yourself in multiple categories.)*
- Visionary Tech Leader Award Category
- Tech Leadership Excellence Award
- Diversity in Tech Initiative Award
- Sustainability Innovator Award
- Global Tech Leadership Award
- AI & Data Science Leadership Award
- Cybersecurity Leadership Award
Why nominate yourself?
Project Name*
Strategy*
Innovation*
Scalability*
Replicability - Quality and Quantity*
Quantum of tangible and Intangible benefits*
Please Attach Documents (if any)
Upload Word files or submit a video message of not more than 2 minutes to support your nomination
Drop files here or

Accepted file types: jpg, png, pdf, mp4, Max. file size: 50 MB, Max. files: 2.
What are the top 3 achievements in your business journey so far?
ET Edge Relationship Manager*
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