xinnovators nomination form
Thank you for making a nomination. There are 4 sections, and expected to take 15-20 minutes to complete.
Name of the xinnovator up for nomination? *
First and last name
Can you confirm the xinnovator between the age 18-35 or 50 and above? *
Required
City of their location *
Country of their location *
Their nationality *
Their gender *
Contact Details
Twitter, Sina Weibo, VKontakte, Facebook and other social media profile URL are optional.
Email *
Contact Number *
Twitter URL
Facebook URL
Sina Weibo URL
VKontakte URL
Other Social Media URL
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy