Please enable JavaScript in your browser to complete this form.Select State *Andhra PradeshGujaratKarnatakaKeralaOdishaRajasthanTamilnaduTelanganaYour District (Andhra Pradesh) *AnanthapurChittoorCuddapahEast GodavariGunturKrishnaKurnoolNellorePrakasamSrikakulamVisakhapatnamVizianagaramWest GodavariYour District (Gujarat) *AhmedabadAmreliAnandAravalliBanaskanthaBharuchBhavnagarBotadChhota UdaipurDahodDangDevbhoomi DwarkaGandhinagarGir SomnathJamnagarJunagadhKutchKhedaMahisagarMehsanaMorbiNarmadaNavsariPanchmahalPatanPorbandarRajkotSabarkanthaSuratSurendranagarTapiVadodara ValsadYour District (Karnataka) *BagalkotBengaluru UrbanBengaluru RuralBelagaviBallariBidarVijayapurChamarajanagarChikballapurChikkamagaluruChitradurgaDakshina KannadaDavanagereDharwadGadagKalaburagiHassanHaveriKodaguKolarKoppalMandyaMysuruRaichurRamanagaraShivamoggaTumakuruUdupiUttara KannadaYadgirYour District (Kerala) *AlappuzhaErnakulamIdukkiKannurKasaragodKollamKottayamKozhikodeMalappuramPalakkadPathanamthittaThiruvananthapuramThrissurWayanadYour District (Odisha) *AngulBoudh (Baudh)BalangirBargarhBalasore (Baleswar)CuttackDeogarh (Debagarh)DhenkanalGanjamGajapatiJharsugudaJajpurJagatsinghapurKhordhaKeonjhar (Kendujhar)KalahandiKandhamalKoraputKendraparaMalkangiriMayurbhanjNabarangpurNuapadaNayagarhPuriRayagadaSambalpurSubarnapur (Sonepur)SundargarhYour District (Rajasthan) *AjmerAlwarBanswaraBaranBarmerBharatpurBhilwaraBikanerBundiChittorgarhChuruDausaDholpurDungarpurHanumangarhJaipurJaisalmerJalorJhalawarJhunjhunuJodhpurKarauliKotaNagaurPaliPratapgarhRajsamandSawai Madhopur SikarSirohiSri Ganganagar TonkUdaipurYour District (Tamilnadu) *AriyalurChennaiCoimbatoreCuddaloreDharmapuriDindigulErodeKallakurichiKanchipuramKanniyakumariKarurKrishnagiriMaduraiNagapattinamNamakkalNilgirisPerambalurPudukkottaiRamanathapuramSalemSivagangaThanjavurTheniThoothukudiTiruchirappalliTirunelveliTiruppurTiruvallurTiruvannamalaiTiruvarurVelloreViluppuramVirudhunagarYour District (Telangana) *AdilabadBhadradri KothagudemHyderabadJagitialJangaonJayashankar Bhupalapally Jogulamba GadwalKamareddyKarimnagarKhammamKumarambheem Asifabad MahabubabadMahabubnagarMancherial districtMedakMedchal–MalkajgiriMuluguNagarkurnoolNarayanpetNalgondaNirmalNizamabadPeddapalliRajanna SircillaRanga ReddySangareddySiddipetSuryapetVikarabadWanaparthy Warangal RuralWarangal UrbanYadadri Bhuvanagiri Select Category *EducationBusinessSocialServicesLegalAgriculturalLiterature ArtSportsotherField of ProfessionAward Type *IndividualOrganizationalYou are *---Please Select---Mr.Mrs.Miss.Dr.Smt.Name *FirstMiddleLastOrganization Name *Authorized Person *FirstLastDesignation *Your AddressYour City *Pin Code *Email *Mobile *Date of birth *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Establishment Date *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender *MaleFemaleEducational Qualification *Select Educational QualificationSSCHSCGraduatePost GraduateDiplomaDegreePh.D.OtherOther Educational Qualification *Your Website / URLAbout Yourself in brief *About organization in Brief *Documents1: Upload Your Photo *2: Upload Your ID Proof *3. Updated CV / Profile *4. Academic Certificate (optional)5. Profession related Document *Terms and Conditions *I have read and agree to the terms and conditions listed below.Terms and Conditions : * Process is Online Only. * Free of cost nomination form and process. * Entries received by Post or Courier will not be accepted. * Any nominees can fill multiple nomination forms for one or more categories. * The applicant/nominee can be contacted over mobile for validation of supplied data. * Any false information submitted in the nomination form will lead to immediate and permanent disqualification – of the nominee. * The nomination form along with other relevant documents will be accepted in English only. * The management has the exclusive rights to reclassify the nomination forms and award categories. * The management reserves its rights to extend, reschedule and alter the venue, date and time and the chief guests/ distinguished guests of Bhushan Award for any such reasons and exigencies which are not controllable at the hands of the Foundation. * Upon final selection, the nominees will be required to pay a donation. * After Completion of Payment Process, Event Details will be Sent to The Selected Candidates. * The donation is non refundable, in any circumstances. * There may be more than one awardee in a particular nomination category. * The award title, certificate, logos, images, trade names, trademarks and copyrights are the intellectual property of the Global Scholars Foundation. * The awardee will be given a right to use such intellectual properties, however, any misuse thereof may hold the awardee liable for damages and/or other penal action. * The decision of the management in relation to the interpretation of any of these Terms and Conditions will be final and binding on the nominees. * The management reserves the right to, at its discretion, withdraw or amend or add to the Terms and Conditions of these awards at any time. Any dispute and/or relating to these awards will be subject to the Judiciary in Maharashtra, (India) * By participating in these awards, all the nominees agree to abide by and be bound by all the terms and conditions. All the nominees are advised to understand all the terms and conditions and also review the same which are subject to modification from time to time. Your Signature *Clear SignatureAnswer * = Submit