The ACCS Foundation Award 2023 Nomination

1. Nominator Information 2. Details of the Nominee 3. Professional responsibilities / Positions held 4. Outstanding contributions of the Nominee 5. Technical, professional, societal and/or economic impact of the Nominee's contributions 6. Nominee's past Recognition / Honours / Awards 7. Patents/Grants Received 8. Publications of the Nominee in the past 5 years 9. In the Nominee's view which are the all time 3 top publications of the Nominee 10. Proposed Citation 11. Recommendations

1. Nominator Information

All correspondence related to this nomination will be directed to the nominator.

Salutations *

First Name *

Middle Name

Last Name *

Professional Affilliations *

Title

Email Address *

Contact Number *

Address *

Line 2

City *

Country *

State *

Zip/Postal Code *

Save And Continue

Please review your nomination for completeness and accuracy. Once the form is submitted, the nominator cannot edit any fields of the nomination. The Nominator will receive an acknowledgment of the submission with a URL to view the nomination.

1. Nominator Information
Name
Professional Affilliation
Title
Email ID
Contact Number
Address
2. Details of the Nominee
Name
Date Of Birth
Academic Qualifications
Professional Affilliation
Title
Email ID
Contact Number
Address
3. Professional responsibilities / Positions held

4. Outstanding contributions of the Nominee

5. Technical, professional, societal and/or economic impact of the Nominee's contributions

6. Nominee's past Recognition / Honours / Awards

7. Patents/Grants Received

8. Publications of the Nominee in the past 5 years

9. In the Nominee's view which are the all time 3 top publications of the Nominee

10. Proposed Citation

11. Recommendations
#	Name	Email ID	Title	Letter	Download
1					Download
2					Download
3					Download

I hereby nominate for the ACCS Foundation Award 2023 and I accept that the decision of the Awards Committee to be final and binding.

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