iCcare Award Nomination

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To ensure your submission is thoroughly evaluated, please provide as much detailed information as possible. The selection of the nominee will be based entirely on the details provided in your submission.

Nominator's Information

(Your Information)
Your Name*

Nominee's Information

(Person you are nominating)
Name*

Nomination Details

Please answer each of the following questions with as much detail as possible and provide examples wherever possible.
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