Nomination details

 
 11% of survey complete.
This form will take around 5 minutes to fill out. You can nominate for more than one category if you wish. 

Please read through category criteria on page two and complete each box. Incomplete nominations will not be accepted.

Thank you for recognising a Leader Under 40. 

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* 1. Your personal details...

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* 2. Who is your nominee?

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* 3. Nominee details (If different to above)

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* 4. Which Leaders Under 40 category would you like to nominate them for?

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