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Award Nomination

…for the most deserving children, teachers, parents, office staff, schools and other organisations.

Name of Nominee (Organisation or Person you are nominating):*

Awards:*

Nominee email address:*

Nominee Telephone number:*

Area Code

-

Phone Number

School or Institution of Nominee (if nominee is not an organisation):*

Town/City/Region of nominee:*

What are the nominee's accomplishments/achievements in this category. (State clearly the specific accomplishments/achievements) Panel may send for proof in some cases. (Not more than 500 words)*

In what ways have the nominee's above accomplishments/achievements contributed to change in their school, community or country. Panel may send for proof in some cases. (Not more than 500 words)(1)*

Your Name:*

Your Contact Telephone:*

Area Code

-

Phone Number

Your Email address:*

Any other comments:

Declaration: I certify that all the information submitted is accurate and true for the purpose of these awards. I also understand that the decision will be based on only what has been submitted above.*

Word Verification:

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