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DETAILS AND BROCHURE OF MAIN AWARDS - IETE

DETAILS AND BROCHURE OF MAIN AWARDS - IETE

DETAILS AND BROCHURE OF MAIN AWARDS - IETE

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27. <strong>AWARDS</strong> RECEIVED BY THE NOMINEE, if anyName of AwardYear8. REFERENCES - Names and addresses of two Referees, who may be contacted for furtherinformation.(a) Name (b) NameAddressAddressTelephone _______________e-mail______________Telephone_________e-mail__________9. Handicapped status of nominee, if any: (Enclose authenticating documents)10. Has the nominee been awarded any <strong>IETE</strong> awards during the last 3 years, if yes, details:Name of the AwardYear(a)(b)(c)Note:A nominee is ineligible if he / she has received any of <strong>IETE</strong> awards during the last threeyears.11. I do hereby give my consent for this nomination and certify that this work has not receivednational or international award till date.12. NOMINATORSignature of nomineeName______________________________________________________________________________Designation ________________________________________________________________________

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