DISHA Nomination Form
E-Mail
Nominee Type
Mark only one oval.
Individual
Stud Farm
Name of the Organization
Name of the Nominee
Designation
Date of Birth
E-Mail ID
Mobile Number
Complete Address
State
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Goa
Gujarat
Haryana
Himachal Pradesh
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
Andaman and Nicobar Islands
Chandigarh
Dadra and Nagar Haveli and Daman and Diu
Delhi (National Capital Territory)
Jammu and Kashmir
Ladakh
Lakshadweep
Puducherry
Postal/Zip Code
Nomination Category
Mark only one oval.
Best Stud Farm / Breeding Facility
Emerging Stud Farm
Best Equine Startup
Best Equine Farmer
Best Trainer
Best Farrier
Best Groom
Best Rider (Junior)
Best Rider (Senior)
Best Veterinary Practices
Lifetime Achievement Award in Breeding
Outstanding Contribution to the Equine Industry
Best Equine Feed (CertiVed)
Best Equine Supplement (CertiVed)
Special Recognition Award
Lifetime Achievment Award
Best Horsemanship
Best Saddlery & Accessories Manufacturer
Best Riding School/Academy
Best Social Media Platform
Attach proof of achievements and records.
Submit
For all inquiries, please feel free to reach out at:
contact@mysite.com
123-456-7890
