Nomination/Candidature Form

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International Response Award for Effective Efforts to Combat COVID-19

Email *

First: Personal information:-

Applicant's name:

Occupation: *

Nationality: *

Telephone: *

mobil *

Country of residence: *

Second: Nomination for the Award: - *

Award Nominee's name:

A.Honorary / governmental high-level ppersonalities category

Honorary Leading Figure (Ruler - Prime Minister .. or their equivalent)

Distinguished Government Senior Executive (Minister - Head of the Crisis Management Team in the country / state / city or their equivalent)

B.Other award categories:

Citizen Award

Government entity Award

Private entity Award

Community Entity/ NGO Award

international organization Award

Committed city Award

County of the runner from authorities, organizations and individuals

D. Nominees’ Contact details from authorities, organizations and individuals: *

Phone Number

Email *

Website *

Categories for nomination (choose one of the following eight categories): *

Submitted nominations should be supported by evidence (documents, images, film materials, reports …etc) which clarify the candidate's efforts in managing response efforts to combat Coronavirus pandemic (COVID-19) (download attachments).

Distinguished Honorary Leading Personality Category in managing responsive Efforts to Combat COVID-19 (....).

Distinguished Government Officer Category in managing responsive efforts to combat COVID-19 (.......).

Distinguished Governmental Authority Category in managing responsive efforts to Combat the COVID-19 (.......)

Distinguished Private Entity Category in managing responsive efforts to combat the new Karuna virus epidemic (........).

Distinguished Community Entity/ NGO Category in managing responsive efforts to combat COVID-19 (......).

Distinguished International Organization in managing responsive efforts to combat COVID-19 (......).

Distinguished Individual initiatives in managing responsive efforts to combat COVID-19 (....).

Distinguished City in managing responsive efforts to combat COVID-19 (......).

Attach a summary of no more than (500 words) about the reason (s) in support of the nomination, which clarify the candidate's action in managing the response efforts to combat COVID-19 pandemic (download attachment in an open format word file). Info@regionalcsr.com

Name

Telephone No *

E-mail *

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