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Entry & Sponsorship Forms

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Last Year's Winners

Guiding Document

Online Nomination Form


1. PARTICULARS OF NOMINATOR

Full Names:
Address:
Telephone:
Mobile:


	I, the above-mentioned nominator, hereby nominate the individual mentioned in Item 3 or the company/organization/institution mentioned in Item 4 to be awarded the PanSALB Multilingualism Award based on the following motivation. I further confirm that the information furnished herein is correct and declare that I am available to give more details about the nominee if needs be.

Motivation:


2. PARTICULARS OF SECONDER (NOT COMPULSORY)

Full Names:
Address:
Telephone:
Mobile:
Company Name:


	I, the above-mentioned seconder, hereby second the individual mentioned in Item 3 or the company/organization/institution mentioned in Item 4 to be awarded the PanSALB Multilingualism Award based on the following motivation. I further confirm that the information furnished herein is correct and declare that I am available to give more details about the nominee if needs be.

Motivation:


3. PARTICULARS OF NOMINEE - INDIVIDUAL

Full Names:
Profession:
Address:
Telephone:
Facsimile:
Mobile:
Email:

Relevant Personal Profile


	I confirm that I accept the nomination and that the above mentioned information is correct.


4. PARTICULARS OF NOMINEE – COMPANY/ORGANIZATION/INSTITUTION

Company Name:

Contact Person’s details:

Full Names:
Address:
Telephone:
Facsimile:
Mobile:
Email:

Summary –
Company
Profile –
[i.e. Company/
Organization’s
business
objectives]:


	I confirm that I accept the nomination on behalf of the above-mentioned Company/Organization/Institution and that the above mentioned information is correct.

FOR MORE INFORMATION OR SUBMISSON: Ms Ntombi Huluhulu - ntombih@pansalb.org.za or Mr Siphiwe Mabasa - siphiwe@pansalb.org.za Fax: (012)341-5938 Tel: (012) 341-9638