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Nomination Form

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Ippta Saharanpur

IPPTA Introduces Lifetime Achievement Award

Engineering
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INDIAN PULP & PAPER TECHNICAL ASSOCIATION P.O. Box No. 47, C.P.P.R.I. Campus, Paper Mill Road, Near Himmat Nagar, Saharanpur – 247001 (INDIA) Tel: 0132-2714082, 2714025, Mobile: 9831083274 E-mail:mkgoyal@ipptaonline.org;ipptaonline@ipptaonline.org Website:www.ipptaonline.org Life Time Award Nomination form I ------------------------------------------------------------------------------------------ IPPTA member having hereby nominate following person for the purpose of consideration of life time achievement award. 1 Name ------------------------------------------------------------------------------------------------------ 2 Address ---------------------------------------------------------------------------------------------------- 3 Email address -------------------------------------------------------------------------------------------- 4 Address ---------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------
5 Narration of achievement: -------------------------------------------------------------------------------- _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___________________ 6 – Picture of nominated person: Attached / Not attached Age -------- years Nominated by Mr ------------------------------------------------------------------------------------------------------------- Signature ----------------------------------- Membership Number ----------------------------------- Last Date for nomination is 28th Feb’18

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Nomination Form

  • 1. INDIAN PULP & PAPER TECHNICAL ASSOCIATION P.O. Box No. 47, C.P.P.R.I. Campus, Paper Mill Road, Near Himmat Nagar, Saharanpur – 247001 (INDIA) Tel: 0132-2714082, 2714025, Mobile: 9831083274 E-mail:mkgoyal@ipptaonline.org;ipptaonline@ipptaonline.org Website:www.ipptaonline.org Life Time Award Nomination form I ------------------------------------------------------------------------------------------ IPPTA member having hereby nominate following person for the purpose of consideration of life time achievement award. 1 Name ------------------------------------------------------------------------------------------------------ 2 Address ---------------------------------------------------------------------------------------------------- 3 Email address -------------------------------------------------------------------------------------------- 4 Address ---------------------------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- -----------------------------------------------------------------------------------------------------------------
  • 2. 5 Narration of achievement: -------------------------------------------------------------------------------- _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ___________________ 6 – Picture of nominated person: Attached / Not attached Age -------- years Nominated by Mr ------------------------------------------------------------------------------------------------------------- Signature ----------------------------------- Membership Number ----------------------------------- Last Date for nomination is 28th Feb’18