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

Nominate

GPBuddy National GPAwards 2019 Nomination Form

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