Section 1
Part A1. Nominee’s Details (as per passport)
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Part B
Please complete the following for the highest level of competition selected:
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Part C
Please complete the following for the next highest level of competition selected:
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Part D
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Part E
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Part F
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Part G
Referees are not mandatory however, it is recommended that the nominator lists up to three relevant sporting organisations as references for the nominee who could be called upon if required.
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Section 2
1. Nominator Details
I acknowledge by signing this nomination form that I am endorsing that all information contained within the form is true and accurate to the best of my knowledge.
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