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Nomination Form: Kiwi-Indian Hall of Fame Awards 2020
Nomination form for candidates for the Kiwi Indian Hall of Fame, Kiwi Indian Young Achiever, and Kiwi Indian Community Service Excellence Award 2020.
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* Required
Email
*
Your email
Category
*
Kiwi Indian Young Achiever of the Year (16-35 y) 2020
Kiwi Indian Community Service Excellence Award 2020
Kiwi Indian Hall of Fame 2020
NOMINEE"S DETAILS
Details of the person you are nominating for the Kiwi Indian Honours 2020
Name of the Nominee*
Your answer
Nominee's Age
*
Your answer
Gender
*
Male
Female
Other
Prefer not to say
Other:
Nominee's Email
*
Your answer
Nominee's Address
*
Your answer
Nominee's Phone Number
*
Your answer
Occupation/ Professional Details of the Nominee
*
Your answer
For how long have you known the said Nominee?
*
Your answer
Why do you think the said nominee qualifies for this honour
*
Your answer
NOMINATOR'S DETAILS
Details of the nominating the above individual.
Name of the Nominator
*
Your answer
Nominator's Phone Number
*
Your answer
Nominator's Professional Details
*
Your answer
Nominator's Address
Your answer
Nominator's Email
*
Your answer
Nominee's Confirmation of the Application
*
Yes
No
If selected, will the nominee be available to attend the ceremony?
*
Yes
No
Send me a copy of my responses.
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