NORKA ROOTS

Government of Kerala

NORKA Coordination Council Nomination Form

Nomination Portal

Country for Nomination

Select a Country for Nomination * (Only countries with open nominations are listed)

Nomination Category

Select Category *

Details of nominated person

Full Name *

Country *

State / Province *

City *

Years Resident Abroad (Pravasi Life) *

Profession / Sector *

Gender *

Email Address *

Phone Number with Country Code *

WhatsApp Number *

Help Desk Preference

First Choice *

Second Choice *

Prior Social / Community Contribution (Brief)

Conflict of Interest

Are you (or your immediate business) engaged as a migration agent, education/recruitment consultant, or in any activity with a commercial interest in migration? *

No Yes

Statement of Interest (Maximum 100 words) *

Word Count: 0 / 100

Upload Profile Summary

Profile Summary (if available - Max 5 MB, PDF only)

Declaration

I confirm that the information above is correct, that I hold no other seat on this Council, and that I am willing to serve in an honorary and voluntary capacity for the term. *

Security Verification

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