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Nomination Entry Form

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Event Name

First Name*

Last Name*

Company*

Designation*

Email ID*

Contact Number*

GST No*

PAN No*

Billing Address*

Shipping Address*

Nomination Category*

Impactful CEO Of India - Start Up

Impactful CEO Of India - Soonicorn

Impactful CEO Of India - Unicorn

Impactful CEO Of India – Emerging Business

Impactful CEO Of India – Large Enterpise

Impactful CEO Of India – PSU

Impactful CEO Of India - MNC

Impactful CEO Of India – Trail Blazer

Impactful CEO of India – Rising CEOs

Impactful CEO Of India – Turnaround Leader

Nomination Entry Fee (Per Category) : ₹50,000 + GST (Standard Fee)

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Declaration*

I/We hereby declare that the information provided is accurate to the best of my/our knowledge. I/We hereby consent to retain my/our information on the TSSL database or may be shared with partners/sponsors of TSSL Events for the purpose of communicating on the products and services of my/our interests. If I/We do not intend to receive such communication, I/We will send an email on et.edge@timesgroup.com. I/We acknowledge and accept Privacy Policy & Terms of Use.

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UTM

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UTM Campaign