LIGHTNING TALKS OPEN NOMINATION FORM
Please tell us something about yourself and your innovation. You may submit your own idea or nominate someone else’s innovation. Please note that the identity of the nominator will be kept confidential throughout this process.

Please be as brief and specific as possible in your response. Help us understand why the innovator would be a suitable Lightning Talks speaker in the OGP Asia Pacific Regional Conference.
What is your name? *
Your answer
What is your email address? *
Your answer
Name of the innovation *
Your answer
Name of your organization *
Your answer
Country where the innovation is being implemented *
Your answer
Name of the speaker from the innovation *
(please fill in if you are nominating others)
Your answer
Please describe the innovation in 350 words or less: What is the innovation? What problem does it try to improve or solve? What is the intended impact? Who are the intended beneficiaries? *
Your answer
Why do you think this idea should be presented at the OGP Asia Pacific Regional Summit (200 words or less)? *
Please elaborate on the unique aspects of the innovation, potential impact, & relevance to OGP values.
Your answer
Please provide up to three links or contact about the nominee *
(i.e. website, twitter, youtube, email)
Your answer
Would you be willing to travel to Bali on 6-7 May to present your idea? *
If you’re nominating someone, what is your relationship to the nominee?
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