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Nomination Form
Company
*
About you (senior representative of company)
Your name
*
First Name
*
Last Name
*
Your department
*
Your job title
*
Your work email address
*
About the nominee
Nominee's name
*
First Name
*
Last Name
*
Nominee's department
*
Nominee's job title
*
Nominee's work email address
*
Describe the nominee's job responsibilities in detail (optional: attach job description below).
*
How many direct reports does the nominee have?
*
Focus area: under which award priority does the nominee's achievement fall?
*
Climate risk
Health
Innovation
Inclusive insurance
Other:
Other Value
Describe the nominee's achievement that has made a positive impact on society and for which she is being nominated. Please provide quantitative details as much as possible.
*
Attachments
REQUIRED: Official letter of recommendation from company. This should include as much data as possible to support the nomination, e.g. figures on how much revenue the nominee generated through her initiatives, etc.
*
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OPTIONAL ATTACHMENT 1: Nominee's CV or biography
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OPTIONAL ATTACHMENT 2: Job description
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OPTIONAL ATTACHMENT 3: Additional references
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