Jamnalal Bajaj Awards

Online Nomination Form for Jamnalal Bajaj Awards

Top Section.

Nomination for Award Category

Full Name

Designation

Organisation

Address

City/Town/Village

State

Pin Code

Country

Telephone

Mobile

Fax

Website

Gender

Country of Birth

Country of Residence

Country of Nationality

Date of Birth

Nationality

Education

Name of the places where work is being carried out (please mention Village/Taluka if applicable)

Working Since

Type of Work

Details of the work being carried out

Nature of work being carried out with a brief account fulfilling each of the stated criteria

Is the work carried out in an individual capacity or through an institutional set up?

How has the work impacted the development of the people, community and region qualitatively and quantitatively

Financial details of the institution(s) with which the individual may be most closely associated and details of grants/financial assistance received during the last 3 financial years.

1st Year

Expenditure

Income

- Personal

- Donation

Income Source

2nd Year

Expenditure

Income

- Personal

- Donation

Income Source

3rd Year

Expenditure

Income

- Personal

- Donation

Income Source

Was this nomination submitted to the Foundation in the past? Yes No

Awards / Prizes / Recognition in the past:

Year

Name of Award

Field of Work / Description / purpose

add

Year	Name of Award	Field of Work / Description / Purpose

Any other information which may be deemed relevant

Your source of information about this Award

Recommended by...

Full Name

Designation

Organisation

Address

City/Town/Village

State

Pin Code

Country

Telephone

Mobile

Fax

Website

IMPORTANT NOTE FOR SUBMISSION OF NOMINATION

Following details to be sent to (JBF Address) by Post
- Copy of the Online Nomination Form
- Letter of the Recommender
- Annual Report (latest copy)
- Income and Expenditure Statement (last three years)
- Balance Sheet ((last three years)
- Photographs / Video, if any
- Any other relevant documents related to the nominee and the work