Home
Nomination Form
Previous Awardees
Alumni Website
Young Alumni Award Nomination Form
*Who are you nominating?
--Select--
Nominating Yourself
Nominating Someone Else
Your Contact Information
*Title:
*Your Name:
*Email ID:
*Your Phone Number:
*Your Role in IIITD:
--Select--
Faculty
Staff
Fellow Alumni
Student
Other
Your Nominee’s Contact Information
*Nominee's Title:
*Nominee's Name:
*Nominee's Email ID:
Nominee's Phone Number:
Program Details
*Program:
--Select--
B.Tech
M.Tech
Dual Degree
Ph.D.
Diploma Program
*Year of Graduation:
--Select--
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
*Current Organisation:
*Current Designation:
*LinkedIn profile Link (In case you / your nominee do not have a Linkedin account, kindly share any other professional URL to verify):
*You may enter multiple URLs by separating the links with a comma
*Please briefly tell us why you feel you / your nominee should be considered for the Young Alumni Award (suggested: 200 words).
Please select the category you want to nominate yourself in (you can select more than one)
Notable contribution to field of work or knowledge
Notable contribution to technological innovation/discipline
Notable contribution to society/community/alma mater
Notable contribution to leadership/entrepreneurship
* Please select at least one category.
Notable contribution to field of work or knowledge
Please share your notable accomplishments in the current role:
1. In case there are any specific projects/collaborations with higher contributions from your end, please provide the details along with necessary proofs:
2. Notable publications in journals/conferences, books/book chapters with contribution as first author (Please categorize the publications into Tier 1, Tier 2, A*, A, etc.):
3. Have you given any invited talks related to your field of work? If yes, please share the list of these talks along with necessary proofs:
4. Have you received any awards for your work? If yes, please share the details along with necessary proofs:
5. Have you made any contribution to professional services (eg: editor/reviewer in journals)? If yes, please share the details along with necessary proofs:
Notable contribution to technological innovation/discipline
1. Do you have any patents? If yes, please provide the details along with necessary proofs:
2. Do you have any research projects/innovations that have been deployed as technology transfer on ground? If yes, please provide the details along with necessary proofs, and mention the Technology Readiness Level (TRL) of each project:
3. Have you received any awards for your innovation? If yes, please share the details along with necessary proofs:
Notable contribution to society/community
1. Have you contributed to any projects that have made a significant impact on society? If yes, please provide the details along with necessary proofs:
2. Have you been involved in any community work that has had a major impact? Please provide the details along with necessary proofs:
3. Have you been involved in any service to your alma mater i.e. IIIT-Delhi? Please provide the details along with necessary proofs:
4. Have you received any awards for your community work? If yes, please share the details along with necessary proofs:
Notable contribution to leadership/entrepreneurship
1. Please describe your significant accomplishments/initiatives in a leadership role:
2. Have you founded or co-founded any venture/company? If yes, please share information about your company along with the website link:
3. What is the USP of your business, and how is it making a contribution in the upliftment of society or the nation?
4. What is the current valuation of your startup? Please share necessary proofs:
5. Has your startup received any investments or funding? If yes, please share the details along with the necessary proofs:
Testimonies
Please attach testimonies in a single document to support your candidature:
*Please create a single document with all the necessary proofs
* Please upload a PDF file.
Supporting Document
Please attach document to support your / nominee's candidature:
* Please upload a document.
