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National Innovation Awards 2014 Nomination Form
Nomination Senders Infomation
Name
*
Email
*
Phone
*
Company/Organization
*
Nomination Type
Are you nominating yourself, another individual, or an organization?
Self
Another Individual
An organisation
Nomination Category
*
Health
Social/Development
Education
Most Innovative University
Agri+Rural
Most Innovative Startup
Finane/Fintech
Civic
Industry
Government Innovator
Art+Design
Corporate / Business
Special - Young Talent
Special - Lifetime Achievement
Primary Contact Information
Instruction
Please provide information for a person we may contact about the nomination. This could be, for example, the nominee, a public relations account representative, or a corporate marketing representative.
First Name
*
Last Name
*
Job Title
*
Company/Organization
*
Email
*
Phone
Nominee Information
Please describe the specific innovation for which you are nominating the individual or the organisation?
*
Please also describe why this innovative? Please keep the write up to 500 words or less in case of one innovation, and 1000 words or less in case of multiple innovations.
What is the quantifiable - verifiable impact of this innovation? What is the likely long-term impact?
*
Please keep your response to 500 words or less.
Kindly provide a reference or contact from which the innovation could be independently verified?
*
Please keep the response to 500 words or less.
Website URL
You upload a document, visual, or a video as supplementary information in support of your nomination.
Verification
Please enter any two digits
*
Example: 12
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please leave it blank
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