NOMINEE'S INFORMATION

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* 1. What is the name of the organisation you are nominating?

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* 2. Brief summary of the organisation

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* 3. What is the name of the initiative being nominated?

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* 4. What is the background of the initiative?

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* 6. Who would accept the award should this initiative win?

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* 7. Nominee’s Name

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* 8. Nominee’s Phone number

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* 9. Nominee’s Cellphone number

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* 10. Nominee’s Email Address

NOMINATOR'S INFORMATION

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* 11. Nominator’s Name

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* 12. Nominator’s Phone number

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* 13. Nominator’s Cellphone number

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* 14. Nominator’s Email Address

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* 15. What is your involvement with the initiative?

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