We are now accepting nominations for 2019
(Nominations close on 28th June 2019)

Nominate

GPBuddy Awards Nomination Form

All entries must be submitted no later than Friday 29th June 2018

Choose your category..

Choose your category
The Nominee
*Full Name:
*Place of Work:


The Nominator
*Full Name:
*Place of Work:


IMC No (if relevant):
*Contact Number:
*Contact Email:
Does the nominee know that you are nominating?
Describe the Nominee:

(Min 25 words / Max 500 words)
Why Should the Nominee win this Award?

(Min 25 words / Max 500 words)
Supporting Material:
Allowed files type: Images/Doc/PDF, Max file size: 2MB
I agree to the Terms & Conditions
* these fields are mandatory
Choose your category
The Nominee
Project / Initiative Name:
*Full Name:
*Place of Work:


The Nominator
*Full Name:
*Place of Work:


*Position:
IMC No (if relevant):
*Contact Number:
*Contact Email:
Does the nominee know that you are nominating?
Describe the Initiative:

(Min 25 words / Max 500 words)
Why Should the Initiative win this Award?

(Min 25 words / Max 500 words)
Supporting Material:
Allowed files type: Images/Doc/PDF, Max file size: 2MB
I agree to the Terms & Conditions
* these fields are mandatory