All fields marked * are mandatory
1. Please provide your name and contact details
Please complete your full name:
Please provide the following contact details:
Are you nominating on behalf of any organization (as a member or as an affiliated person)?
2. Tell us whom you are nominating
3. Explain what actions the Nominee undertook to help others survive *
Please provide answers to the questions below:
4. Upload supporting evidence
Please upload supporting evidence that documents the Nominee’s work and impact (e.g., coverage by reputable internationally recognized media, awards, published works, third-party recommendations letter or other endorsement – max 10 documents and/or links).
Please note that supporting evidence is obligatory. Secretariat reserves the right to decline a nomination that is not supported by evidence verifying the Nominee’s story.
Please confirm that you agree with the Terms and Conditions.