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Nomination form

Personal details of nominator
Name

First name

Last name
Phone
Email
Are you an alumni of 188体育网址_188体育在线-【唯一授权网站】@ of Nottingham?
YesNo
If yes, please provide your course, degree and year of graduation.
Category of your submission
UNM Alumni of the YearRecent Graduate AwardSpecial Excellence AwardLifetime Achievement
Personal details of nominee
Name

First name

Last name
Course
Year of graduation
Email (if know)
Phone (if know)
Address (if know)
Occupation and Employer
Please provide detail on the nominee's professional achievements and how they made an outstanding contribution to their field?
How has the nominee influenced peers and impacted the wider community?
How does the nominee's work/achievements reflect the value of his/her education?
Please provide any additional information you believe illustrate that this individual is deserving of an award. Provide examples of how they address values of innovation/creativity/global responsibility/social justice/sustainability.

Alumni and Donor Relations Office

188体育网址_188体育在线-【唯一授权网站】@ of Nottingham Malaysia
Jalan Broga, 43500 Semenyih
Selangor Darul Ehsan
Malaysia

telephone: +6 (03) 8924 8373
fax: +6 (03) 8924 8657
email: alumnirelations@nottingham.edu.my