CONCEPT NOTE
Nomination Details
For more clarification, please refer to FAQ.
Full Name
*
Please enter your full name
Gender
*
Select
Male
Female
Other
Required
Date of Birth
*
Required
Age
*
Nationality
*
State / Country of Residence
*
Full Residential Address
*
Mobile Number
*
Enter 10-digit mobile number
Email ID
*
LinkedIn / Website
Category of Award
*
Select Category
Primary & Middle
Secondary & Higher Secondary
College & Higher Education
Type of Nomination
*
Select Type
Self
Peer
Institutional
Referral Details (Fill this information only if type of nomination is Peer/Institutional)
Name
Enter valid name
Mobile Number
Enter 10-digit mobile number
Email ID
Enter valid email
Institution Details
Name of Institution
*
Type of Institution
*
Select Type
Government
Private
Aided
Autonomous
International
Institution Address
*
Current Designation
*
Department / Subject
*
Teaching Level
*
Select Level
Primary
Middle
Secondary
Higher Secondary
Undergraduate
Postgraduate
Professional/Vocational
Total Teaching Experience (Years)
*
Experience in Current Institution (Years)
*
Teaching Subjects
*
Science
Mathematics
Social Science
Languages
Commerce
Arts
Sports
Vocational Education
Skill Development
Higher Education
Other
Select at least one subject
Please specify other subject
*
Qualifications (10%)
Qualification
*
Board/University
*
Percentage/CGPA
*
Comments
Add More Qualification
Required Details (Complete all sections carefully, as each carries weightage in the evaluation.)
Innovation in Teaching (20%)
0/1000 words
Max 1000 words required
Student Impact (20%)
0/1000 words
Max 1000 words required
Values & Character Development (10%)
0/1000 words
Max 1000 words required
Society / Community Contribution (10%)
0/1000 words
Max 1000 words required
Professional Achievement(s) (10%)
0/1000 words
Max 1000 words required
Awards & Recognition (10%)
0/1000 words
Max 1000 words required
Vision for Future Education (10%)
0/1500 words
Required Documents
Create a single document for each sub-section and upload below.
Passport Size Photograph
*
JPG/PNG, max 512KB
Qualifications Document
*
PDF, max 3MB - Combine all qualification certificates
Resume / CV
PDF, max 3MB
Innovation in Teaching Document
PDF, max 5MB
Student Impact Document
PDF, max 5MB
Values & Character Development Document
PDF, max 2MB
Society / Community Contribution Document
PDF, max 2MB
Professional Achievement(s) Document
PDF, max 2MB
Awards & Recognition Document
PDF, max 2MB
Vision for Future Education Document
PDF, max 1MB
Declaration
I hereby declare that the information provided is true and correct to the best of my knowledge. I understand that any false information may lead to disqualification.
I consent to MVPM using submitted information, photographs, videos, and related materials for evaluation, publication, and award-related purposes.
You must accept the declaration
Nominee(Your) Name
*
All fields marked
*
are required
Submit Nomination
