Block President Nomination Form

All details are kept private and are reviewed only by the party’s selection committee. Nothing you submit is displayed publicly.

Privacy notice: We collect only the details needed to review this nomination. Do not send Aadhaar numbers, banking details, passwords or other sensitive personal information. Data is stored securely and access is restricted to authorised party reviewers.

Your full name *Mobile number *Email addressDistrict *Block *Assembly constituencyVillage, town, or city

Recommended person’s full name *Age *EducationOccupationFull addressSocial-service experienceOrganizational or leadership experienceAreas, villages, or wards where the person has workedReason for recommending this person *

Supporting profile, photograph 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 as a TPP Block President. *