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Share with us a brief profile details for your entry
Nominating for
❝ Birsa Munda Excellence Award: Celebrating Exceptional Contributions ❞
Prefix
Mr
Ms
Mrs
Dr
LGBTQ
Full Name of Nominee
Date of Birth
Day
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02
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Month
January
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Year
1980
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2025
Gender
Male
Female
Phone No.
Email Address
City
State
Current Occupation/Title
Field / Sector (if applicable)
Briefly Describe about Yourself
Profile Photo
Photo extension JPG, JPEG, PNG.
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