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Scheme of Award of Prizes to Hindi Writers

 
     
 
 

CENTRAL HINDI DIRECTORATE

 
 

Government of India
Department of Higher Education
Ministry of Human Resource Development

 

SHIKSHA PURASKAR YOJANA

Application Form
Note:- To be filled in Hindi/ English
1.
 
Name of the book:
________________________________________
2.
  Has this book ever been awarded previously? ________________________________________
  (A) If yes, when and by whom? ________________________________________
  (B) The year of publication of the first edition of the book and the name of publisher: ________________________________________
3.
  Full name of the author (in Hindi): ________________________________________
4.
  Full name of the author (in English capital letters): ________________________________________
5.
  Name of father/husband: ________________________________________
6.
  Date of Birth: ________________________________________
7.
     
(i) Address: ________________________________________
________________________________________
(ii) E-mail: ________________________________________
(iii) Telephone No. ________________________________________
  (iv) Mobile No. ________________________________________
8.   Address of correspondence (with name of Village/ District/ State: ________________________________________
________________________________________
9.   Mother Tongue of author: ________________________________________
10.   Brief Bio-data of author to be given on a separate sheet of paper (please enclose 2 copies of the latest photograph): ________________________________________
       
    Date:- __________________ ________________________________________
     
Signature of the applicant
 
     
 
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