VETTING
Nomination
Form
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Nomination Form
01 // Source ID (Nominator)
Title
...
Mr
Mrs
Ms
Dr
Prof
Required.
Full Name
Name required (letters only).
Mobile Number
Valid phone required.
Email Address
Valid email required.
02 // Target Profile (Nominee)
Title
...
Mr
Mrs
Ms
Dr
Prof
Required.
Full Name
Name required (letters only).
Mobile Number
Valid phone required.
Email Address
Valid email required.
Designation / Role
Designation required.
Origin Country
Select Origin...
Uganda
Kenya
Tanzania
Nigeria
South Africa
Other African Nation
Country required.
Organization
03 // Classification Matrix
Award Category
Select Category...
Business & Entrepreneurship
Governance & Public Service
Social Impact & Community
Technology & Innovation
Youth & Women Empowerment
Pan-African Leadership
Category required.
Specific Award
Select Category First...
Specific award required.
04 // Merit Statement
Impact Analysis (Min 100 chars / Max 1000)
Detailed justification (100-1000 characters) required.
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