EVENT’s Award Recommendation Form

Date for Submission of Application Form – November to December; Date of Selection of Candidate – January and Date of Disbursement of Award – February.

NOTE: This Form should be filled up separately for each candidate, recommended for Award.

(To: JM Sethia Charitable trust of 16, Ganesh Chandra Avenue, Kolkata-700013,West Bengal, INDIA, fon: +91-33-2236 0368,4040 1300, mob : +91-9339793153, West Bengal, INDIA, e-mail:jms_trust@yahoo.in, website: www.jmstrust.com)

I) Event (Pl. Tick ✔)

DebatesArtsMusicDramaSports

II)School/ College Name *

School/ College Address *

Pincode *

School’s / College Tel. No (with STD code) *

School’s / College Mobile No *

School’s / College email Id *

III)Best Performer’s

Please upload your Colour Photograph *

Name * :
Class * :
Date OF Birth *

Son/Daughter of * : Shri / Smt.
Residential Address * :
Residential Pincode *
Tel No. (With STD Codes) *
Mobile No. *
E-mail Id *
Enclosures * (Pl. Tick✔)

Event's PhotographEvent's Video Clip

Please Upload Your Event’s Photograph *

Please Upload Your Event’s Video *