Nomination for Anguilla Badge of Honour and Queen's Certificate ...
Nomination for Anguilla Badge of Honour and Queen's Certificate ...
Nomination for Anguilla Badge of Honour and Queen's Certificate ...
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GOVERNMENT OF ANGUILLA<br />
<strong>Anguilla</strong> Day <strong>Honour</strong>s<br />
<strong>Nomination</strong> <strong>for</strong> <strong>Anguilla</strong> <strong>Badge</strong> <strong>of</strong> <strong>Honour</strong><br />
<strong>and</strong><br />
Queen’s <strong>Certificate</strong><br />
Nominees should be Anguillians <strong>and</strong>/or non-Anguillians who have played a critical role<br />
during the <strong>Anguilla</strong> Revolution, <strong>and</strong> Anguillians <strong>and</strong>/or non-Anguillians who have made<br />
outst<strong>and</strong>ing contributions to the social, economic <strong>and</strong> political development <strong>of</strong> <strong>Anguilla</strong><br />
since 1969.<br />
PLEASE RETURN FULLY COMPLETED NOMINATION FORM ON OR BEFORE<br />
FRIDAY 30 TH MARCH, 2013. INCOMPLETE FORMS WILL NOT BE ACCEPTED.<br />
Name <strong>of</strong> Nominee _______________________________________________________<br />
Name <strong>of</strong> Person/Organisation making nomination:______________________________<br />
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Reason(s) <strong>for</strong> nomination: Please provide as much detailed in<strong>for</strong>mation as possible:<br />
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Please list two referees <strong>and</strong> their contact info: ( phone, cell or email )<br />
1. ____________________________ 2. ___________________________<br />
____________________________<br />
____________________________<br />
____________________________<br />
____________________________<br />
Signature: _______________________<br />
Date:________________________<br />
NB. Submission <strong>of</strong> this nomination is not a guarantee that the nominee will be<br />
chosen by the <strong>Anguilla</strong> <strong>Honour</strong>s <strong>and</strong> Awards Committee.<br />
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