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 NOMINATION FORM
EHRDC HUMAN RIGHTS DEFENDER OF THE YEAR NOMINATION FORM 2022/14
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Your Name 
Address: Phone and email 
Name of the NOMINEE (Who are you nominating?)
Gender 
Region
Occupation/Position):
Human Rights Activities of the Defender (Nominee):
Why do you think this person deserves to be HRDC's Human Rights Defender of 2022.  Please outline why you think the nominee should receive the Award you selected. Highlight the human rights work the nominee is involved in, the impact of the nominee’s work and any challenges faced by the nominee in the course of their human rights work.(400 words maximum)
How will the nominee benefit from the Award? Highlight what the nominee would benefit from recognition both in their private life and work (250 words maximum).
Address of the Nominees- Please put her/his phone, email, etc 
Please provide two references who are aware of the nominee’s human rights work: Mention their relationship with the nominee as well as their phone and email address 
Any last Remark? 
Please click Send above when you finish. Thank you for your nomination 
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