NOMINATION FORM
Assalamu Alaikkum,
SLMCC's Education Committee is pleased to announce the 6th Annual Sri Lankan Educational Excellence Award 2018 ceremony due to be held on Saturday the 16th December 2018 at Allum Hall & Manor House, 2 Allum Lane, Elstree, Borehamwood, WD6 3PJ. The awards are aimed at celebrating the exceptional academic achievements of Sri Lankan Muslims in the UK, in the year 2018. Nominations are invited in the following areas:

1. 11+ exam with admission to any Grammar or independent School in the past 12 months
2. GCSE (high achievers) in 2018
3. A-Levels (high achievers) or Entry to top universities in 2018
4. Graduate (1st class from any of the UK universities or 2nd upper from any of the top 10 universities in the UK) or Postgraduate/ Masters/ Doctoral/ Postdoctoral levels in the past 12 months
5. Any other outstanding achievements in the fields of education, literature, arts or sciences
(at nations or regional levels).

Please complete the below form to nominate yourself or someone you may know.
Nominations Closing Date : Tuesday, 20th November 2018.

Details of Nominator
Details of Nominee
Full Name and Contact Number of the Nominator *
(If this a self nomination, please state as self nomination)
Your answer
Relationship to the Nominee *
Full Name of the Nominee / Achiever *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Telephone *
Your answer
Email *
Your answer
Father's Name *
Your answer
Category Of Achievement *
Please tick one option from the following categories
Detail of your selected Achievement
School / College / University *
Your answer
Subjects / Modules *
Your answer
Result (s) *
Your answer
Declaration
*
Required
SIGNATURE
(digital)
Your answer
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