Nomination Leave this field blank Madhyamasree | Madhyamaratna | Media Excellence Award Nomination (Last Day of Submission Nov.30, 2024) Full Name * Required ADDRESS: (full address including pin code) * Required Email: * Required Telephone * Required Mobile Phone Number: * Required TITLE * Required MEDIA OUTLET NAME (Specify the Media Outlet) * Required DIRECT SUPERVISOR NAME (if any) (optional) Optional DIRECT SUPERVISOR'S CELL: (optional) Optional CATEGORY NEWS REPORTER NEWS WRITER NEWS ANCHOR EDITOR NEWS PRODUCER NEWS EDITOR NEWS HEAD ENTERTAINMENT PROGRAM ANCHOR RADIO RJ TV NEWS CAMERAMAN ENTERTAINMENT PROGRAM DOP The 'Nominee's' Contributions and Achivements in Media SUPPORTING DOCUMENTS OR VISUALS UPLOAD HERE (optional) (Upto 30mb files can be uploaded OR you can share google drive link) Choose file Uploading… (0%) Browse Oops. A file with this name has already been uploaded. Oops. This file type isn’t allowed. Oops. This file size is too big. Google Drive Link (optional) Disclosure: The final decision will be of the Jury and National Executive Committee of India Press Club of North America. Send
