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Nomination Form
ICPA Academia Awards 2026
( Nomination Under Individual Capacity)
1. Category Applied For
ICPA Academic Excellence Award
ICPA Scholar of the Year Award
ICPA Lifetime Achievement in Academia Award
Section A: Applicant Information
1. Name of Applicant:
2. Designation
3. Institution/University:
4. Department
5. Office Address:
6. Email id
7. Mobile/Telephone
8. Adhar Card no
9. ICPA Life Membership Number
Section B: Academic Profile
1. Educational Qualifications (with year and institution):
2. Teaching Experience (in years):
3. Courses Taught / Academic Contributions
4. Membership of Professional Bodies (if any):
Section B: Academic Profile
1. Research Areas / Interests:
2. Key Publications (List up to 5 major works):
3. Books/Monographs Authored:
4. Papers Published in Peer-Reviewed Journals (last 5 years):
5. Research Projects (Completed/Ongoing):
6. Citation Index / Impact Factor (if applicable):
Section D: Awards, Recognition & Academic Leadership
1. Awards / Honours Received:
2. Academic Leadership / Administrative Roles:
3. Invited Lectures / Keynote Addresses:
4. Contributions to Academic Reforms / Curriculum Development:
Section E: Statement of Contribution
(In not more than 500 words, please describe your significant academic contributions, research impact, and commitment to excellence in teaching and knowledge creation.)
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