2017 JCI Malaysia Sustainable Development Award Nomination Form
How to submit your nomination:
1) Fill in the online form and click submit.
2) Make payment of RM500 for companies / RM200 for organisations to Maybank Acct no: 014084237780. Acct name: Junior Chamber International Malaysia
3) Email the payment slip to
Attach the supporting documents (eg photos, press coverage, ROY/ROS/ROC certificate and etc) with your email.
4) Whatsapp to 0182059883 (JCIM Malaysia Secretariat) to notify that you have submitted and paid.
** Nomination closing date: 7 July 2017
Which UN Sustainable Development Goal has this project helped to advance? (select 1 only per project)
Goal #1: NO POVERTY
Goal #2: ZERO HUNGER
Goal #3: GOOD HEALTH AND WELL-BEING
Goal #4: QUALITY EDUCATION
Goal #5: GENDER EQUALITY
Goal #6: CLEAN WATER AND SANITATION
Goal #7: AFFORDABLE AND CLEAN ENERGY
Goal #8: DECENT WORK AND ECONOMIC GROWTH
Goal #9: INDUSTRY, INNOVATION AND INFRASTRUCTURE
Goal #10: REDUCED INEQUALITY
Goal #11: SUSTAINABLE CITIES AND COMMUNITIES
Goal #12: RESPONSIBLE CONSUMPTION AND PRODUCTION
Goal #13: CLIMATE ACTION
Goal #14: LIFE BELOW WATER
Goal #15: LIFE ON LAND
Goal #16: PEACE, JUSTICE AND STRONG INSTITUTIONS
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service