Sergio Vieira de Mello Award Submission form
INFORMATION ABOUT THE CANDIDATE
Name *
Your answer
Address *
Your answer
Email *
Your answer
Company name
Your answer
Phone number *
Your answer
Brief particulars of the candidate including a short description of recent activities for peaceful reconciliation of parties in conflict and their impact (max. 1000 characters)
Your answer
Reasons why the candidate merits the Award (max. 1000 characters) *
Your answer
SUPPORT MATERIAL (optional)
Upload additional material (pdf or doc) using the following link : https://goo.gl/tuwV2p
REFERENCES
First Reference
Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone number *
Your answer
Company name
Your answer
Second Reference
Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone number *
Your answer
Company name
Your answer
SUBMITTED BY
Name *
Your answer
Address *
Your answer
Email *
Your answer
Phone number *
Your answer
Company name
Your answer
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