AEIAN 2023 AWARD NOMINATION FORM

Full Name *

Email *

Amount (NGN) *

1 - NGN 350,0002 - NGN 500,0003 - NGN 1,000,0004 - NGN 2,000,000

Agender *

Male Female

Organization *

Location *

Categories of Awards *

AEIAN Women in Environment AEIAN Woman Entrepreneur

Name of Nominee *

Agender of Nominee *

Male Female

Location of Nominee *

Brief justification for the nominee (200)

* are compulsory
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