Section 1: Nominee Details
Full Name *
Current Designation *
Institution / University *
City / State *
Email *
Phone *
Total Years of Academic Experience *
Official Profile Link (optional)
Senior Leadership Roles Held *
Section 2: Nominator Details
Relationship to Nominee *
Section 3: Nomination Statement
1) Award Citation (Max 200 words) *
In no more than 200 words, explain why this individual deserves a Lifetime Achievement Award, focusing on enduring contributions to pharmaceutical quality, manufacturing, and/or operations beyond routine academic responsibilities.
2) Signature Lifetime Contributions (Max 200 words, up to 5 bullets) *
List up to five defining contributions that best represent the nominee’s career impact. You may draw from:
Knowledge Leadership (publications/patents/books);
Industry/Societal Impact (initiatives adopted beyond the nominee’s institution);
Mentorship (PG/PhD scholars guided);
Leadership & Service (roles in professional/industry bodies);
Peer Recognition (national awards/fellowships).
3) Evidence of Impact & Peer Recognition (Max 200 words) *
Briefly describe how these contributions were recognized, adopted, sustained, or scaled beyond the nominee’s own institution/organisation (e.g., industry uptake, national recognition, fellowships, invited leadership roles, guideline influence).
Declarations
Name *
Designation *
Institution *
Date *
Upload Signature (Image) *
