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Nomination Form

The nomination form must be completed and submitted online. Nomination forms submitted otherwise will not be considered. Applicants entering more than one category must complete the nomination form separately for each category.

The nomination form must be completed and submitted online on or before 25th  of May 2008.

Organisation Details
Organisation Name
CR No
One line description of organisation
Select the Organisation Type Government
NGO
Business
Religious
Financial
Cooperative
Other (Please specify)  
Website
Address
Contact Details
Title (Mr., Mrs., Ms., Dr. etc)
Name
ID number
Position/Designation
Email address
Telephone number
Project Details
Please note that no attachments or additional supporting information is required at this stage.
Project Title
Location of project
One line description of project
Select the Award Category Youth and Community Projects Award
Green Workplace Award
Best Public Awareness Campaign Award
Environmental Leadership Award
Green Roof & Green Building Design Award
Environmental Vision in the Health Sector Award
Environmental Vision in the Energy Sector Award
Smart Mobility Award
Does your organisation have a person designated for Corporate Social Responsibility or Environmental/Community activities? Yes  No
What was the commencement date of the project?
In the box below, tell us the objectives of your green project (In 200 words or less)
What are your environmental achievements? (In 200 words or less)
What do you hope to achieve in the long term? (In 200 words or less)
Referee Details
It is mandatory that the application is supported by two referees. The referees should not be members/staff of the applicant organisation.
Referee 1  
Title (Mr., Mrs., Ms., Dr. etc)
Name
Organisation Name
Position/Designation
Email address
Telephone number
   
Referee 2  
Title (Mr., Mrs., Ms., Dr. etc)
Name
Organisation Name
Position/Designation
Email address
Telephone number

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