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Qimpro Awards 2012
 
 NOMINATION FORM
Nominee * Mandatory Fields
[This is the candidate/individual who is being nominated for Qimpro Awards]
Name of Nominee*
Designation
Organization*
City*
Email ID
Category*
Nominator
[This is the person who is nominating the candidate. The Nominator need not be from the same organization as the Nominee]
Name*
Designation*
Organization*
Site / Unit
Department
Address*
City* Pin*
STD* Desk Phone*
Mobile*
Official Email*
Personal Email
Application Coordinator
[This is the person in the Nominee's orgainzation whom Qimpro should be in touch with for the application]
Name
Designation
Organization
Site / Unit
Department
Address
City Pin
STD Desk Phone
Mobile
Official Email
Personal Email
 
 
4B Sindhu House, Nanabhai Lane, Fort, Mumbai 400 001, India
Contact Jigisha Lulla at awards@qimpro.com or
call (022) 66348701
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