Nomination

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2 Nominee Information

Award Category:

Name:

Contact Details:

ID or Reg No:

Email Address:

physical address:

Sport discipline (Type of Sport):

3 Nominating / Nomination Party

Name of Party/Organization:

Position Held:

Relationship to The Nominated Party:

Has The Nominee Consented To be Nominated?:

YES     NO    

4 Motivation

kindly attach poe:

Give Detailed Motivation:

Fields with (*) are compulsory.