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Nominee's Full Name *

First

Last

Nominee's Email Address *

Cell Number

Reason for Nomination *

Please describe why you believe this nominee deserves the Noble Parent Award.

Award Category *

Select the category for which you are nominating this individual.

Your Full Name *

First

Last

Please provide your name as the nominator.

Your Email Address *

We may reach out for additional details about your nomination.

Full Name Attendance

Cell Number

Attendance Confirmation *

The nominee must attend the awards ceremony in Gauteng. Do you understand and agree to this condition?

Relationship to You *

City/Province *

Confirmation *

I confirm that all the information shared is true and accurate.
I understand that by submitting this form, the nominee may be featured on our social media or website if shortlisted.