Diaspora Dialogue Platform for Constitutional Reform in Ethiopia:

Dear Nominator,

Please read the following requests carefully and answer them when you nominate someone to be a member of the Dialogue Organization Committee. 

  • Part One is required and needs to be filled out completely.
  • Please use Part Two to briefly tell us about your nominee.
  • Part Three is optional and although we would appreciate if you fill this out, it is acceptable if you choose to remain anonymous.
Thank you for your time and your willingness to nominate. 

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Email *
Part One - About the Nominee (*required)
Title: *
Full Name of the Nominated person: *
Phone Number: *
Email: *
Permanent Address:
Profession:
Employer Name:
Education Specialization:
Part Two: Why did you nominate this person?
Part Three - About the nominator (*optional)
Your Full Name:
Your Phone number:
Date:
MM
/
DD
/
YYYY
Thank you!
A copy of your responses will be emailed to the address you provided.
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