Branch award: Nomination

Nomination for Branch Award

The form below may be completed online if you wish to nominate an individual for a New Zeland Branch Award. The form will be emailed to the Branch Secretary and yourself  for consideration at the next scheduled meeting of the Branch Management Committee.

Alternatively, the form may be downloaded and completed offline by clicking

I would like to nominate

Name * (as it should appear on the award)

Address *

Post code *

Is the nominee a member of NZ Branch? *
YesNoNot sure

Person submitting the nomination

Name *

Address *

Post code *

Email *


How do you know the nominee and in what capacity are you making this nomination? *

Profile of the nominee

What positions has the nominee held?

What other achievements of benefit to the Branch would you like to be considered?

Why should the nominee receive a Branch award?
Please attach a document (doc, docx or pdf) no longer than 300 words *
Note that this will form the basis of the Branch Award citation, should your nominee be approved.

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