Women's Awards Nom ination Form 2018

Departm ent of Social W elfare

Government of M izoram

1. Hm ing I Paw l Hm ing: _

(Pawl hi category b-na atan bik chauh a ni ang)

2. Kum I Paw l din kum :---------------------------------------

3. Address( D istrict hm ing chiang taka tarlangin): _

4. Contact No:----------------------------------------------

5. Email:--------------------------------------------------

6. Nom ination dilna:- (tick rawh)

(a) Infiamna lama hmeichhe hlawhtling Chaw imaw ina ( )

(b) E izawnna lama hmeichhe/paw l hlawhtling Chaw imaw ina* ( )

(c) Hmeichhia, pianphunga harsatna nei chung a hlawhtling

Chaw imaw ina ( )

(d) Hmeichhia, khaw tlang tana thawk tha Chaw imaw ina ( )

* Hemi category bikab hian hmeichhia, mimal emaw, pawl emaw, anga hlawhtlingte thlan

an ni ang.

7. A chunga category thlan bika hlawhtlinna I thlen chin:

(a) Infiamna lama hmeichhe hlawhtling Chaw imaw ina

1. State Level-a thlen chin.

ll. National Level-a thlen chin

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111. International Level-a thlen chin.

IV . Mirnal Chaw irnaw ina dawn tawh te.

V. Infiarnrni hrneichhe dangte tana entawn tlak nihna leh m idangte

kaihhruai kawnga hmalakna te.

(b) Eizawnna lama hmeichhial pawl hlawhtling Chawimawina:

1. Eizawnna a tun dinhrnun thleng tura harsatna paltlangl dan leh tuna

dinhrnun thlen chin.

11: Eizawnna-in mahni chhungkaw dinhmun a chaw isan dan.

111. Midang tan a eizawnna kawng kawhhrnuh ernaw siam sak dan/ zat.

IV . Hlawhtling tura mahnil paw l remhriatna bik hmante bakah m imal

ernaw paw l anga Chaw imaw ina dawn tawhte.

V. Khaw tlang leh hmeichhe dang te tana pek let te.

(c) Pianphunga harsatna nei chunga hlawhtlinna nei te

1. Pianphunga harsatna neih leh heti chunga hlawhtling tura beih dan

leh thlen chin.

11. Pianphunga harsatna nei dangte tana hrna lakna te.

111. Hrneichhiate tan bika (Pianphunga harsatna nei ernaw neilo emaw)

inpeknal hrna lakna).

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IV . Midang tana entawn tlak nihna.

v. Khaw tlang tana pek let te.

(d) Khaw tlang tana thawk tha

1. Khaw tlanga paw l anga (YMA, MHIP, Kohhran, etc) in hrnan dan.

11. Mirnal Chaw irnaw ina dawn tawh te.

111. Midangte tana entawn tlak nihna.

IV . Hrneichhiate tan bika inpekna/hrna lakna.

v. Khaw tlang hrnasawn nana rnirnal hrna lakna te.

*Heng bakah hian tarlan duh dang a awm chuan tarlan theih ani ang.

** Thu ziahte ti chiang thei tur documents neih ang te photo copy thil tel tur

ani ang.

***Tin, nomination form zulzui (format) ang hian category dilna bikah,

khawlchhut ngeia buatsaih a thehluh theih nise.

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