Alumni Association of COEP

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Award_Nomination

Award Form

Nominee Information

Award Type* --Select Award-- Distinguished Alumnus Distinguished Service Young Alumni Chapter Service Award Type is required

Nominee Name* Nominee Name is required

Nominee Email* Email Id is required

Nominee Phone* Phone Number is required Valid number

Current Organization* Please Enter Organization

Current Position* Please Enter Position

Degree* --Select Degree-- Btech Mtech PhD MBA Please Select Degree

Department* --Select Department-- Chemistry Civil Engineering Computer Engineering Electrical Engineering Electronics and Telecommunication Engineering Environmental Science General Management Human Resource Management Humanities Information Technology Instrumentation and Control Engineering Management Manufacturing Engineering and Industrial Management Manufacturing Science and Engineering Marketing Mathematics Mechanical Engineering Metallurgical Engineering Metallurgy and Materials Science Metallurgy and Materials Technology Operations and Supply Chain Management Operations Management Physics Planning Production Engineering Robotics and Artificial Intelligence Please Select Department

Batch* --Select Batch-- 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 1995 1998 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 0 Please Select Batch

Nominee Brief Description

Description is required

Supporting Documents (max 5MB & Only PDF/Word files)* Please upload valid files

Nominee Additional information

Please describe the nominee’s professional achievements and impact in their domain.

List awards, honors, patents files or recognitions the nominee has received. Description is required

How has the nominee contributed to innovation, leadership, or advancement in their industry? Description is required

Describe the nominee’s national/international reputation and influence. Description is required

In what ways has the nominee upheld the values and name of the alma mater? Description is required

Supporting documents or references (if any) Please upload valid files

Nominee Additional information

Describe the specific services rendered by the nominee and their impact.

How long and in what capacity has the nominee served the institution? Description is required

Highlight initiatives taken or sustained involvement in alumni activities, student mentoring, volunteering etc Description is required

Mention any recognitions or testimonials from beneficiaries or institutions. Description is required

What sets this service apart from regular contributions? Description is required

Nominee Additional information

Describe the nominee’s bureaucratical ,professional or entrepreneurial accomplishments.

Specify the employment generated ( How many jobs are created , revenue generated/ turnover through the venture Description is required

Has the nominee shown significant leadership or social impact at an early stage? Description is required

Specify projects implemented, number of citizens benifited Description is required

List awards, innovations, startups, publications, or patents (if any). Description is required

Describe how the nominee inspires current students or peers. Description is required

Nominee Additional information

Describe the nominee’s bureaucratical ,professional or entrepreneurial accomplishments.

Name of Chapter and Office Bearers Description is required

Key initiatives/events organized in the last 2–3 years. Description is required

Describe the impact of these activities (alumni engagement, student support, fundraising, increase in official alumni membership, etc.) Description is required

Innovations in chapter operations (online events, mentorship programs, networking events etc.) Description is required

How has the chapter supported the institute’s vision or reputation? Description is required

Number of active members and frequency of meetings or activities Description is required

Attach photos/reports/media coverage (if available) Description is required

Nominator Information

Nominator Name* Nominator Name is required

Nominator Email* Valid Email is required

Nominator Phone* Please Enter Phone Valid number

Nominator Organization* Please Enter Organization

Nominator Position* Please Enter Position

Affiliation* --Select Affiliation-- Alumni Non-Alumni Please Select Affiliation

Degree* --Select Degree-- Btech Mtech PhD MBA Please Select Degree

Batch* --Select Batch-- 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 1995 1998 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 0 Please Select Batch

Department* --Select Department-- Chemistry Civil Engineering Computer Engineering Electrical Engineering Electronics and Telecommunication Engineering Environmental Science General Management Human Resource Management Humanities Information Technology Instrumentation and Control Engineering Management Manufacturing Engineering and Industrial Management Manufacturing Science and Engineering Marketing Mathematics Mechanical Engineering Metallurgical Engineering Metallurgy and Materials Science Metallurgy and Materials Technology Operations and Supply Chain Management Operations Management Physics Planning Production Engineering Robotics and Artificial Intelligence Please Select Department

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