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Proforma For Padma Awards

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1. Name:(a)  First Name

(b)  Last Name




2. Sex (Male/Female):  
3. Date of Birth/Age  
4. Place of Birth:(if known)


5. Nationality:  
6. Postal Address:With Telephone/email etc.
7. Religion:  
8. Category (SC/ST/OBC/General)  
9. Profession or Occupation:(with designation/office held)
10. Field of activity:  
11. Padma Award for which name is recommended, viz. ‘Padma Vibhushan’, ‘Padma Bhushan’ or ‘Padma Shri’: 
12. Padma Award conferred, if any, in the past: 
13. Citation: 


Note:  Filled up proforma and citation should be sent in soft copy, i.e. through email on uspublic@mha.gov.in and also to be sent in hard copy, i.e., by post.

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