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          Directory of Achievers

Format for submitting Achievers' Profile

All coordinators who have volunteered to submit profiles for publication in our proposed Directory of Achievers of Contemporary Bihar should furnish the profile details of achievers in the format given below. Each profile published will carry the name of the coordinator. Please fill the form below and submit.

Fields marked * are compulsory

Nominee's

 Details

*Title:

Dr. Prof.  Mr.  Ms.  Mrs.
*Name:

*Age:
*Education:
Present Position & Organization:
*Career Profile:
*Highlights of Achievements:
Awards/Honours:
Family Profile:
Postal Address:

Phone:
Email:
Web Address:
Whether photograph is available: YES   NO
The above information is true to the best of my knowledge and belief
*Submitted by: Coordinator's Name*

Coordinator's Email*

*Profile Category: