Nomination for The SocioFare Awards.

Nominee Form

Full Name:

Phone Number:

Email Address:

Organization or Affiliation:

Award Category:

Nominee's Achievements:

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Nominee's Motivation:

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Future Plans:

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Challenges Faced:

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Other Relevant Information:

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Letters of Recommendation:

Photographs:

Publications:

Other Evidence:

Terms and Conditions:

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Consent Given

Permission for Publicity