Block Committee Nomination Form

Recommend a qualified person for a TPP Block Executive Committee position. All information stays private and is visible only to authorized TPP reviewers.

Privacy notice: we collect only the information shown on this form to review the nomination. We never ask for Aadhaar numbers, banking details or passwords. Uploaded documents are stored in encrypted private storage. Records are retained for the duration of the selection process and up to three years afterwards for organizational and legal purposes, then deleted.

Position being recommended for *Your full name *Mobile number *Email addressDistrict *Block *Assembly constituencyVillage, town or city

Recommended person’s full name *Age *GenderEducationOccupationFull addressRelevant qualifications and skillsSocial-service experienceOrganizational or leadership experienceExperience relevant to the selected positionReason for recommending the person *

Supporting profile, photograph, certificate or document (PDF, JPG or PNG, up to 5 MB)

I confirm that the information provided is accurate to the best of my knowledge and has been submitted with the recommended person’s consent. I understand that submitting a name does not guarantee appointment to any TPP position. *