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2023 VOLUNTEER AND YOUTH VOLUNTEER OF THE YEAR

NOMINATION FORM

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Volunteers Full Name (Person being nominated - Nominee)
Nominee's Postal Address
Organisation's Postal Address
Organisation's Contact Person
Does the Nominee volunteer with any other organisations?
I certify that the Nominee has agreed to be nominated and, if they are a finalist, their name and photos can be used in media releases and publicity
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Name of person making the nomination
Nominator's Postal Address