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    Application

    INSTRUCTION FOR COMPLETING THE APPLICATION

    1. All fields marked with an *.

    2. Applicant must fill his data or his organization, as well as data advanced by the nominee, including the rationale for selecting.

    1. INFORMATION FROM THE APPLICANT

    Organisation (Name) of Applicant*

    The Representative of the Applicant Organisation*

    Applicant Phone*

    Applicant E-mail *

    Applicant Postal Address *

    2. ABOUT NOMINEES

    Name of Nominee*

    Nominee Phone*

    Nominee E-mail *

    Nominee Postal Address*

    Select a Nomination*

    Justify your Choice*

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