Sergio Vieira de Mello Award Submission form
INFORMATION ABOUT THE CANDIDATE
Name *
Address *
Email *
Company name
Phone number *
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)
Reasons why the candidate merits the Award (max. 1000 characters) *
SUPPORT MATERIAL (optional)
Upload additional material (pdf or doc) using the following link : https://goo.gl/tuwV2p
REFERENCES
First Reference
Name *
Address *
Email *
Phone number *
Company name
Second Reference
Name *
Address *
Email *
Phone number *
Company name
SUBMITTED BY
Name *
Address *
Email *
Phone number *
Company name
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