(The detail of the person, male or female, making the nomination. If you are nominating yourself, kindly complete this as well.)
Name and surname(required)
I.D. number(required)
Company of employment(required)
Position in company(required)
Telephone (work)
Telephone (home)
Cellphone(required)
Fax
Email address(required)
(The detail of the person that is being nominated for the award. Kindly complete this section if different from above.)
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