DAA
Nominations Form
Nominations
Previous Year Winners
 
DAA
       
The Distinguished Alumnus Award (DAA) is the highest award given by the Indian Institute of Technology Kanpur to its alumni in recognition of their achievements of exceptional merit.
 
Distinguished Alumnus/a Award -- Nomination Form
Name *
Home Address
City State Zip
Job Title
Business Name
Business Address
City State Zip
Telephone Fax
E-mail
Graduation year, degree, branch at IITK
Other higher education degrees (please specify institutions)

It is requested that nominations be accompanied by as much relevant material (in form of bio-data, Newspaper articles/profiles, information on other awards and commendations etc.) as is possible for the nominator to supply. Attachments can include, career/professional highlights, membership/leadership in professional organizations, professional honors, awards and/or recognition, publications, or noteworthy special work. Service to the community and/or civic organizations: can include, involvement with Institute, college or department committees, Alumni Association support, participation and membership, financial contributions, participation in University programs, teaching at the Institute, other volunteer membership, leadership or service. Can also include leadership, membership or support of civic organizations, charitable organizations, religious organizations, or other community related volunteer or financial support.

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(Note : only .doc, .pdf, .jpg & .gif files can be uploaded.)

 Nominator Information
Name *
Degree/Branch/Pass Year if IITK graduate
Address *
City * State * Zip
Telephone * Fax
E-mail *
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