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* 1. Please enter your full name, country of origin, Oxford Degree and scholarship through the Weidenfeld Hoffmann Trust e.g. (Lord Weidenfeld, Austria, DPhil International Studies, Oxford-Weidenfeld and Hoffmann)

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* 2. Please provide the name, country, Oxford Degree and Scholarship of the Alumni you are nominating.

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* 3. Please provide a brief description of how the nominee is making a visible difference in their home country / society and how they exemplify the vision and mission of the WHT Leadership Programme

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* 4. Please submit your contact information (e-mail and phone number) for additional communication with regards to this nomination. 

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