Nomination Form

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Nomination Form

100 Influential Digital Icon Award 2022

A Magnificient Opportunity To Be Recognised and Celebrated For Your Success

Name of Nominee *

Company Name *

Contact Number *

Email *

Year Incorporated *

Annual Revenue *

Your State *

Nature of Business *

Achievements *

I declare that the information submitted in this Nomination Form is true and complete. I authorise the organisers to verify any information. I agree to adhere to the rules, regulations, guidelines and instructions of the organisers. I agree to abide by the decision of the Judges and the organisers and understand and agree that the organisers reserve the rights to rescind the Award and make publicity of such decisions should the organisers at their sole opinion, decide that I have not been truthful or have failed to adopt an ethical standard befitting a recipient of the Award (to be comnpleted by CEO/ Managing Director/ Director/ Chairman) *

Yes

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