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Full Name*
Pen name, if any
Date of Birth*: (DD/MM/YYYY) / /
Place of Birth
  District*
  State*
Classification
(e.g. Telgu fiction writer, Punjabi writer, Hindi poet, Indian Eng. writer, Sanskrit Scholar, Scholar-Writer, Translator, Editor, etc. by language or by specialization).
Education*
(Degree/Diploma/Ph.D/etc)
Present Position/Occupation
Career (Professional and Literary)
  (Position held, if any, with dates.)
Language*
  (In which you normally write/mother tongue)
Language(s)
  (Other languages in which you also write.)
Literary Distinction
No. of Books Published*
  
Particulars of Publications
Title, Form/Genre, Year of Publication (Maximum 10 publications)

  
Full Postal Address*
  
Telephone No. (with Std code)  
Office
  
Residence
  
Mobile
  
Email ID
  
Individual URL/Blog