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Mentor Profiles
Awards
Speakers
Partners
Segments
Contact
X
Register Now
Role Model Personnel Award
Nominate individuals who have led by example and become a beacon of championing food safety.
Please state the name of the nominator
Prefix
Mr.
Mrs.
Ms.
Mx.
Miss
Dr.
Prof.
First Name
*
Last Name
*
Name of the Nominee ( Individual / Company )
Prefix
Mr.
Mrs.
Ms.
Mx.
Miss
Dr.
Prof.
First Name
*
Last Name
*
Company Name
Name of the contact person at the Company
Prefix
Mr.
Mrs.
Ms.
Mx.
Miss
Dr.
Prof.
First Name
*
Company Name
*
Official Contact Number
*
Official eMail ID
*
Full Address
Street Address
*
State
*
ZIP / PIN Code
*
Is the company MSME Registered?
*
Yes
No
If yes, please upload the MSME company registration certificate
*
Choose File
No file chosen
Delete uploaded file
Enter the FSSAI license of the Nominee’s Comapny
Any Food Safety Standards at place ?
*
Yes
No
If yes , specify which one ? ( ISO 22000/ FSSC 22000/ BRC/ Other )
Reason for Nominating the person
*
List down the impact created by the practice. ( Your response can have details of Quantitative OR Qualitative inputs for impacts like reduced food safety/hygiene incidents on the manufacturing floor, enhanced knowledge among food handlers, improved food safety culture, reduced cost in food safety practices, improved compliance, etc. )
*
Any Other Remarks
Submit
