Nomination Form – ScienceTech Awards

Thank you for your interest in becoming a judge for the ScienceTech Awards. Please fill out the form below to submit your application.

Nominee Name * Primary Contact Person Designation Status (Student, Researcher, Corporate, etc.) Email Address * Phone Number *

Gender *

Select Award Category *

Website/LinkedIn Profile Nationality Country / Location * Residential Address Title of the Project/Innovation * Brief Description (150-300 words) Date of Development/Launch Key Contributions & Impact

Upload Supporting Files (Research Papers, Patents, Certifications)

📁 Choose Files No files chosen

Upload Images/Videos of Innovation

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Previous Recognition or Awards?

Yes (Specify below) No

Affiliated Institution/Organization?

Yes (Specify below) No

I Agree to the Declaration & Consent