Nomination Form

Nomination Form: Organisation

Nominate an organisation for Merdeka Award

Organisation Information
* Compulsory fields
Full name of the organisation you are nominating *
Has this organisation been in operations for more than 10 years? *
Share 3 reasons why you are nominating this organisation. List the significance or impact that your nominee has created in a few sentences. *
Share links of pictures / information about the nominee’s most significant work(s) or impact achieved i.e. social media profiles, news coverage, published works, awards or grants received, testimonials, research papers, etc.
Is your nominee aware of this submission? *
Kindly provide the contact details of a contact person in the nominated organisation i.e. email address, phone number
Organisation contact person's phone number (mobile) *
Example: 6012-12345678
Organisation contact person's phone number (office)
Example: 603-12345678
Organisation contact person's email *
Example: name@mail.com
Your contact details for further information
Your Name *
Your Phone Number (Mobile)
Example: 6012-12345678
Your Email Address *
Example: name@mail.com
Your Phone Number (Office)
Example: 603-12345678
 
Would you like to receive email updates about Merdeka Award? *
PDPA Statement / Consent *
 

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