NOMINATION FORM

Your Name: Mr./Ms.

Your Email:
Your Mobile Number:
Your Designation:
Company:
Address:

Company Website URL:

Year of Establishment:
Brief about your Company (min. 150 words):

Name of the Chief Executive/Director of the Mr./Ms.

company:
Mobile No. of the Chief Executive/Director of the
company (They will NOT be called or disturbed):
Email ID of the Chief Executive/Director of the
company:
Approx. number of Clients/Customers:
Company Turnover in 2016: Rs.
Total number of Employees:

D-142 A, 2nd Floor, Patel Garden, Main Dwarka Road, Dwarka, New Delhi – 110059
Email:- info@wbrcorp.org , Web: www.wbrcorp.org
Salient features of your Services:

List Major Projects or Assignments:

Award Category you wish to apply for:

Invitation Mail sent by:

1) Shilpa
2) Richa
3) Ravi
4) Nidhi
5) Abhishek
6) Manvi
7) Ritu
8) Robin
9) Anju
10) Natasha
11) Jyoti
12) Neha

Please input the Email ID of the person who sent

you the invitation mail:

D-142 A, 2nd Floor, Patel Garden, Main Dwarka Road, Dwarka, New Delhi – 110059
Email:- info@wbrcorp.org , Web: www.wbrcorp.org