Home - Commissionerate of Rehabilitation and Welfare of Non Resident Tamils

NOMINATION FORM FOR NRT AWARD-2024

Category*

DETAILS ABOUT THE NOMINEE

Personal Information

First Name*

Last Name*

Father's Name*

Passport Size Photo*

Gender*

Date of Birth*

Place of Birth*

Place of Origin in Tamil Nadu*

Marital Status*

Nationality*

Country of residence*

Address of nominee in Tamil Nadu*

Mobile Number*

Email-Id / மின்னஞ்சல் முகவரி*

Profession of the nominee

(a) Name of the organization*

(b) Designation*

OTHER INFORMATION

(a) Name of the nominee’s ancestor who migrated from Tamil Nadu*

(b) Relationship with the nominee*

(d) Last known address of ancestor in Tamil Nadu*

In the case of Non-Resident Tamil, please provide the following information for the past five years:

Country of stay*

Period of stay From*

Period of stay to*

Significant achievements of the nominee in his profession, i.e. area of work (Describe in 100 words)*

JUSTIFICATIONS FOR NOMINATION

Please provide justification for nomination in approximately (100 words):*

Previous awards, decorations, citations given to the nominee (Only those of national / international importance can be mentioned)

Name of Award / Decoration / Citation*

Year in which it was granted*

Name of country / Organization which gave the award*

Work / Reasons/ accomplishments for which Award was given*

Person/body proposing the nomination for NRT Awards (In case of self- nomination, it is not required)

Name*

Position*

Address*

Mobile*

E-mail*

I certify that the information furnished above is true to the best of my knowledge and belief.

Date*

Place*

Signature*

Commissionerate of Rehabilitation and Welfare of Non Resident Tamils

அயலகத் தமிழர் நலன் மற்றும் மறுவாழ்வுத்துறை ஆணையரகம்

அயலகத் தமிழர் தினம்-2024