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OFFICE OF PREMIER AND PUBLIC POLICY TURKS AND CAICOS ISLANDS GOVERNMENT
Home
Awards
NOMINATE
Nomination Form
Name of Nominee
Address
Telephone
Email
Nominee's Place of Birth
Nominee's Nationality
Nominee's Date of Birth
Nominee’s contribution to society
Nominator’s rationale for nomination
In your opinion, what is your Nominee’s strongest area of contribution
Nominator's Name
Nominator's Place of Birth
Nominator's Nationality
Address
Telephone
Email
How long have you known your nominee?
Nominator's Signature
Clear
In what capacity have you known your nominee?
Date of Submission
Please tick the box that best represents your selection
The Order of National Hero
The Order of Turks and Caicos Islands
The Patriotic Award (CAYOS MEDAL)
The Patriotic Award (MOUCHOIR BANK MEDAL)
The Meritorious Service Medal
The Long Service Medal
The National Young Achiever's Medal
SectionII
Please submit any valuable evidence to support your choice of nominee. Evidence includes but is not limited to: Testimonials, images, videos, audio files, newspaper clippings. (
Maximum 1 attachment each
)
Submission of Documents (1 PDF File)
Upload File
Upload supported file (Max 15MB)
Submission of Video
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Upload supported file (Max 15MB)
Submission of Image
Upload File
Upload supported file (Max 15MB)
Submission of Audio
Upload File
Upload supported file (Max 15MB)
Submit
Thank you for your Nomination!
This form no longer accepts submissions.
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