Young Entrepreneur Awards 2012
Registration Form
(Submit your Applications by 15 January 2012)
Personal Information
Title
*
Mr.
Mrs.
Ms.
Dr.
First Name
*
Last Name
*
DoB
*
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January
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June
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October
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December
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2011
Province
*
Balochistan
Khyber Pakhtunkhwa
Sindh
Punjab
Islamabad Capital Territory
FATA
Gilgit-Baltistan
Azad Kashmir
District
*
Abbottabad
Bannu
Battagram
Buner
Charsadda
Chitral
Dera Ismail Khan
Hangu
Haripur
Karak
Kohat
Kohistan
Lakki Marwat
Lower Dir
Malakand
Mansehra
Mardan
Nowshera
Peshawar
Shangla
Swabi
Swat
Tank
Upper Dir
Country
*
Pakistan
(Only applications from Pakistan are being accepted)
Contact (City Code - Your Number)
*
-
Mobile (XXXX-XXXXXXX)
*
-
Email
*
Business Information
Business Name
*
Business Category
*
Product
Service
Sector
Foods
Sweets & Bakers
Technology Solutions
Transportation
Crafts & Textile
Beauty & Saloons
Boutique
Fashion Designing
Retail Shop
Event Management
Health & Fitness
Kids Cares
Garments
Academies
Play Stations
Music & Drama
Photography & Documentary
Pharmaceutical
Art
Other
NTN No.(Optional)
Nature
*
Social Enterprise
Commercial Enterprise
Innovation
*
Technological Integration
Energy Efficient
Recycling
Health And Education
Sustainable Farming
Water
Environment
Other
Core Product / Service
*
Product / Service Description
*
(Should be less than 200 characters)
Business Started In
*
Initial Investment Rs.
*
Annual Turnover Rs.
*
Number of People Employed
*
Business Type
*
Virtual
Physical
Business Address
*
Business Email
*
Business Phone
*
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