Registration Form

This will be your first step towards the Honour. If you wish to nominate for an award with us, go ahead and fill out the registration form. After reviewing your profile, our Manager will confirm your selection for the prestigious award. Upon confirmation, you will need to pay the registration fee.

Award Nomination Registration

Full Name *

Select Award / Query *

State *

Age

Gender *

Email Address *

Phone Number *

Alternate Phone Number

Message / Query

Consent *

Security Check: What is 5 + 3? *

5 + 3 = ?

We provide this award according to your ID card. If you want to change the name on the award as you require, please fill out the Amendment Form. You can customize or change the name printed on your award—such as including a prefix, correcting spelling, or using a preferred name—by filling out the Amendment Form. Please ensure all details are correct and a valid ID proof is attached for verification. The submitted information will be reviewed by our verification team. Name changes will only be processed after approval to maintain authenticity and consistency in our official records.

I request you to provide this award as per the appropriate details filled by me.

I undertake that I will not in any way misuse the name in the public title given to my award. Please add the Dr. prefix with my name on the certificate. I will abide by all the Terms and Conditions, Rules & Regulations, and MBR Policies of the Magic Book of Record.

Registration Payment Details Registration Process