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SOLIDAR Silver Rose Awards 2013 Nomination Form

SOLIDAR Silver Rose Awards 2013 Nomination Form

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5. DECLARATION<br />

Please indicate whether you have informed this person/organisation of their<br />

nomination:<br />

Yes<br />

No<br />

Signed<br />

Date<br />

5. LOGISTICS<br />

Please complete all sections of the nomination form.<br />

Incomplete nominations will not be considered.<br />

CLOSING DATE 15 December 2012.<br />

Please return only the completed nomination forms to:<br />

<strong>SOLIDAR</strong><br />

<strong>Silver</strong> <strong>Rose</strong> <strong>Awards</strong> <strong>2013</strong><br />

Rue du Commerce 22<br />

B-1000 Brussels<br />

Tel : +32 2 500 10 20<br />

Fax : +32 2 500 10 30<br />

Email: silverrose@solidar.org<br />

Next steps:<br />

The Jury will be constituted by the beginning of <strong>2013</strong> and will make a selection until<br />

the end of February <strong>2013</strong>.<br />

Short listed candidates will be contacted by the beginning of <strong>2013</strong>. After the selection<br />

by the jury, the awardees will be informed.<br />

<strong>Nomination</strong> <strong>Form</strong> <strong>Silver</strong> <strong>Rose</strong> <strong>Awards</strong> <strong>2013</strong> 6

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