Nominee Details

(must be a WAPPA Aspirant Member with minimum 12 months membership)

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* 1. Nominee Name

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* 2. Nominee Mobile

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* 4. Nominee Current Position

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* 5. Nominee Current Work Site

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* 6. Nominee Work Address

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* 7. Date

Date

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* 8. Who is nominating this member?

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* 9. Signed by Nominee (pursuant to applicable electronic signature laws, I affirm that my typed name constitutes a valid signature)

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* 10. Please upload the following documents:

  • A written statement: Addressing each of the Assessment Criteria (Total of two (2) A4 pages maximum in 11pt Arial with a 20mm margin on all sides) Word and page limits are strictly enforced. Mandatory
  • Supporting information: Up to two additional A4 pages for photo, data, graphics or testimonials. Optional

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