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Your Name:

Your Firm/Organisation:

Your Corporate Email Address:

Your Phone Number:

Name of Nominee:

Nominee Organisation:

Nominee's Email Address (if known):

Nominee's Phone Number (if known):

I would like to keep my name confidential to

Please include a statement stating that the company/individual/law firm you nominate is eligible for the award you have nominated: (maximum 500 words)

Please provide your candidate's past experience/work or reference to show that they are suitable for the relevant award (Please provide the telephone number and e-mail of the reference company/individual/law firm) (maximum 500 words)

Upload Supporting Documents (Optional):