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Submissions are to be made electronically to
awards@highwayafrica.com
.
The closing date for entries is 10 August 2013, 4:30pm Pretoria time
.
For more information, contact Vimbai Chikukwa
at
awards@highwayafrica.com
Please complete each field below. Note that each entry or nomination must be submitted on a separate form.
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and label the pdf file under your name.
Telkom -
Highway
Africa New Media Awards 201
3
APPLICATION FORM
First name:
Last name:
Email address:
Nomination (please select) Self:
Other:
Please motivate nomination
(maximum 100 words)
Nominee details:
Details of the person/organisation you
wish to nominate:
Title of entry:
Category:
Website URL:
Contact – ¿rst/last name:
Email address:
Contact number:
(w):
(c):
Alternative contact number: