NOMINEE'S INFORMATION

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* 1. Who are you nominating?

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* 2. What is their current Job Title?

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* 3. How long have they been in this role?

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* 4. Who is their employer (Organisation Name)?

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* 5. What is their risk background?

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* 6. Nominee’s Phone number

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* 7. Nominee’s Cellphone number

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* 8. Nominee’s Email Address

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* 9. What is their formal educational background?

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* 10. What is their field of specialisation?

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* 11. Did the Nominee live permanently in the African country (where the risk management initiative was performed) for the 12 months prior to the date of submission of the nomination?

NOMINATOR’S INFORMATION

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* 12. Nominator’s Name

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* 13. Relationship to the Nominee (e.g. Employee/Colleague/Manager)

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* 14. Nominator’s Phone number

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* 15. Nominator’s Cellphone number

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* 16. Nominator’s Email Address

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