IYC – RGA TOP 30 ICON Nominations for Individual category. Rashtriya Gaurav Top 30 Icon Award is an initiate by “Golden Era” to recognise the great efforts and contribution in nation’s building. This is an honor for all those dignitaries who have performed a remarkable contribution in their respected field. RASHTRIYA GAURAV TOP 30 ICONS AWARDSAward TitleAward TitleRashtriya Gaurav Top 30 IconsLeadify India Leadership AwardPrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Middle NameLast Name *Phone *0 / 10Email Address *Street Address *Apartment, suite, etc *City *State/Province *ZIP / Postal Code *Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweFull postal address with pin code *Date of BirthMarital Status *Marital statusMarriedUnmarriedSeparatedSinglePreferred not to sayOffice PhoneName of your organisation *Please write your company's name.Designation *WebsiteSelect your profession *Please select oneActorArtistAuthorAssistant ProfessorBusiness OwnerCEOEngineerSocial EntrepreneursEvent PlannerFashion DesignerManaging DirectorManufacturerMotivational SpeakerPrincipalProfessionalsProfessorPublic SpeakerSocial ActivistTeachersHealth ProfessionalsOther (Please mention in your bio)Tell us more about you * Write more about your social & professional achievements Upload front face pictureDrag and Drop (or) Choose FilesIn case facing difficulties in uploading documents, Kindly email on pushkar@goldeneraevents.comUpload ID Proof & Address ProofDrag and Drop (or) Choose FilesIn case facing difficulties in uploading documents, Kindly email on pushkar@goldeneraevents.com (Max file size 5 mb)Upload your profileDrag and Drop (or) Choose FilesIn case facing difficulties in uploading documents, Kindly email on pushkar@goldeneraevents.com (Max file size 5 mb)How did you hear about us?How did you hear about us?News PaperFacebook/ LinkedIn AdvertisingFriend/ ColleagueGoogle AdsGolden Era WebsiteOther WebsiteBranding and Membership fee applies *Registration Fee INR 5500 Nominations must be submitted using the official nominations form. I have read and understand the policies*INR 15000 PR and Branding Fee including Gala Lunch + Networking + Nominations. After completion of your fee, Please email the screenshot along with your profile on pushkar@goldeneraevents.comThe organisation reserves the rights to cancel any award in a particular category or zone if required. No representation from any of the participants nominating themselves for such award or categories will be entertained. The organizers also reserve the rights to cancel of postpone the event or change its venue in case of non availability of the chief guests/ celebrity dates or for any other unavoidable reasons. All efforts will be made to update the winners of any such change well in advance. The event location is subject to vary due to ongoing pandemic. We reserve to make changes to the dates incase of lockdown. The event will be hosted on the next available dates.The decision of the jury will be final and bindingFee is compulsory to pay upfront while filling the application form.How would you like to join us?Applying forStage felicitationDigital Edition (Virtual)Delegation charges 5500.00 and submit balance later *Pay by Debit/ Credit Card (Verified AIGT)Submit Pay delegation charges PR & Auditing charges applicable for finalized winners.Fees for award ceremonies will be determined by the city and venue.Non-eligible applicants can get fully refunded If your profile is disqualify. Review about the award Appreciation certificate (Digital through email) Award souvenir (Winning trophy) will be sent through courier.For more information regarding this please whats app <your_name> space <contact number> space <RGA 21 Nominations Phase 3> at 9555421414.