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AUSTRALIA INDONESIA AWARDS 2021 NOMINATION FORM
NOMINATIONS CLOSED 30 JUNE 2021
To recognise and honour those who have made significant contributions to the greater understanding and friendship between Indonesians and Australians.

Menghormati warga Australia dan Indonesia yang telah memberikan kontribusi signifikan terhadappemahaman dan persahabatan yang besar antara orang Indonesia dan Australia.

Nominations close 30 June 2021. Nominations will be reviewed by an independent Selection Panel, chaired by Mr Bill Farmer, former Ambassador to Indonesia. Three Finalists in each category will be announced in July 2021, and the winner in each category will be announced at the Awards Presentation in October 2021.
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AUSTRALIA INDONESIA ASSOCIATION
Australia Indonesia Awards Introductory Video
CATEGORY - Please tick the category for which your nomination is to be entered. You must answer all questions with an asterisk to be able to advance to the next page *
Required
NOMINEE
(The person you are nominating) - Calon
Title (Mr, Mrs, Dr, etc) *
First Name *
Last Name *
Organisation/Position
Street Address *
City/Suburb *
State *
Country *
Postcode *
Telephone or mobile *
Email *
Tell us about your nominee: Please provide as much detail as you can and consider the selection criteria. (Extra pages and supporting material may be emailed or posted to address on last page.) *
In what ways have they demonstrated commitment to Australia Indonesia relationships? *
In what ways could they be a role model for others? *
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