50 Young Global Leaders Nomination Form
Name of the Young Leader you are nominating?
First and last name
Your answer
Can you confirm the Young Leader is under the age of 35?
The 50 Young Global Leaders must be under the age of 35. To the best of your knowledge, does the Young Leader you are nominating match this description?
Required
City of their location
Your answer
Country of their location
Your answer
Their nationality
Your answer
Their gender
THEIR CONTACT DETAIL
Twitter, Sina Weibo, VKontakte, Facebook and other social media profile URL are optional.
Email
Your answer
Contact Number
Your answer
Twitter URL
Your answer
Facebook URL
Your answer
Sina Weibo URL
Your answer
VKontakte URL
Your answer
Other Social Media URL
Your answer
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