Nomination Form

( Celebrating Excellence in Women Entrepreneurship & Professionalism )

Nominee Information

(Please fill in the details of the nominee you would like to put forward for the award.)

First Name

Last Name

Phone Number

Business Name

Industry/Sector

Job Title

Nominator Information

(If you are nominating someone else, please fill out your details below. If you are nominating yourself, you can skip this section.)

Full Name

Phone Number

Tell Us About Yourself

(Tell us why the nominee deserves this recognition. Be specific and provide clear examples.)

Describe your professional journey and accomplishments (300 words max)

Why should we choose you? (150 words max)

Please provide any notable awards, recognitions, or press mentions you have received (Optional)

Agreement and Submission

By submitting this form, you confirm that all the information provided is accurate and that the nominee consents to being considered for the Women Listed Awards.

I understand that a representative will contact me to verify my details and provide the payment link, and a nominal fee of 2499 INR is required for processing my nomination, which I will pay through NEFT, Bank transfer, or UPI & QR Scan.

I confirm that I have the nominee’s consent to submit this nomination.

I agree to the terms and conditions of the Women Listed Awards.