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THE TURKS AND CAICOS ISLANDS
NATIONAL HONOURS AND AWARDS
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Past Honourees
NOMINATE
NOMINATION FORM
SECTION I
NOMINEE INFORMATION
Name of Nominee
Nominee's Address
Nominee's Place of Birth
Nominee's Telephone
Email
Nominee's Nationality
Nominee's Date of Birth
CONTRIBUTION DETAILS
Nominee’s Contribution to Society
Nominator’s Rationale for Nomination
In your opinion, what is your Nominee’s strongest area of contribution
NOMINATOR INFORMATION
Nominator's Name
Nominator's Nationality
Email
How Long Have you Known your Nominee?
Nominator's Signature
Clear
Nominator's Place of Birth
Nominator's Address
Nominator's Telephone
In What Capacity Have you Known your Nominee?
Date of Submission
*
required
CATEGORY OF NOMINATION
Please click 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
SECTION II
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
Upload File
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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