Nomination FOrm Edupreneur Principal Teacher Name
: ..................................................................................................
School
: ..................................................................................................
Designation
: ..................................................................................................
School Address
: ..................................................................................................
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Mobile: ..................................... Landline : ..................................
Alternate number
: ..................................................................................................
Email id
: ..................................................................................................
School website
: ..................................................................................................
School affiliated to : cbse / icse / ib / state Do you have any branches : yes/no If yes provide details: Year of establishment : .................................................................................................. Number of students : Pre-primary .............../ Primary............... / High School............. Educational qualification: ............................................................................................. Experience
: Teaching :.............................. Administration:...........................
Number of training program attended :.......................Pl mention no of hours............... Number of conferences/seminars/workshops attended:
National :........................... International:...................................
Number of papers/articles published in news papers/magazines/web portals:
National :........................... International:...................................