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* 1. Nominee's first name (the person you are nominating)

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* 2. Nominee's surname

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* 3. Nominee's email address (you will need to have their permission to provide this. They will only be contacted about the Awards)

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* 4. Nominee's place of employment

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* 5. Registration category

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* 7. Your full name

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* 8. Your email address

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* 10. CPD submission

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* 11. Nominee’s job title and description of responsibilities in their role (200 words)

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* 12. Declaration by the nominee

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* 13. Declaration by the nominator

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