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CavinKare Ability Award for Eminence
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CavinKare Ability Award for Eminence
CKA Ability Award for Eminence
Nomination Details
First Name
Last Name
Nominee Mobile
Alternate Number
Email
Gender
- Select -
Male
Female
Other
Date of Birth
Educational Qualification
Address
City
State
Nature of Disability
- Select -
Blindness
Low-vision
Leprosy Cured persons
Hearing Impairment (deaf and hard of hearing)
Locomotor Disability
Dwarfism
Intellectual Disability
Mental Illness
Autism Spectrum Disorder
Cerebral Palsy
Muscular Dystrophy
Chronic Neurological conditions
Specific Learning Disabilities
Multiple Sclerosis
Speech and Language disability
Thalassemia
Hemophilia
Sickle Cell disease
Multiple Disabilities including deafblindness
Acid Attack victim
Parkinson's disease
Upload Photo (2 Mb)
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Photo ID card (Upload Aadhar / Voter ID card) (2 Mb)
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Organization Details
Organization Name
Year of Establishment
Organisation’s website / social media link
Organisation's uniqueness
File Attachment (pdf)
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Details of grants in aid that the nominee/organisation received with regard to their work
File Attachment (pdf)
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Name of Co-founders (If any)
Name of Co-founder
Impact of the nominee/organisation's work on society
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Work Details
Details of Current Work
Rationale for the nomination
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Give link to videos / photos that you may wish to upload
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Reference 1 details
Reference 1 Name
Email
Mobile
Street
City
State
Pincode
Reference 2 details
Reference 2 Name
Email
Mobile
Street
City
State
Pin code
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Source Details
Nomination Type
- Select -
Self Nomination
Nominating a person I know
Name of the nominator
Mobile
City
State
Email
Street Address
Pincode
Any other details
How did you hear about the CAVINKARE ABILITY awards?
Ability Foundation
CavinKare Pvt. Ltd.
Dainik Bhaskar
The Hindu
Ability Foundation - Facebook
Ability Foundation -Linkedin
Ability Foundation - Other Social Media
CavinKare- Facebook
CavinKare- Instagram
CavinKare- Linkedin
CavinKare- Other Social Media
TV channels (specify )
Other
If Other, Please specify
Declaration
I hereby declare that I am willing to accept the CAVINKARE ABILITY award, if selected.
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Submit Form
For any clarification, contact:
89396 75544
awards@abilityfoundation.org
