Swedish Baltic Sea Water Award Nominations

2010 Swedish Baltic Sea Water Award

Use this form to submit your nomination electronically.
Nominations are due by May 3, 2010.
Please note that nominations must be submitted in English.
More information can be found on www.siwi.org

( * = Mandatory fields )

1. Information on nominated person/organisation
Title:		Organisation:
* First Name:		* Last Name:
Email:		Website:
Address line 1:		Phone:
Address line 2:		Mobile:
Address line 3:		Fax:
City and Postal Code:
* Country:

2. Information on the nominator
Title:		Organisation:
* First Name:		* Last Name:
* Email:		Website:
* Address line 1:		* Phone:
Address line 2:		Mobile:
Address line 3:		Fax:
* City and Postal Code:
* Country:

3. The nominee´s achievements
The work of the nominee is mainly in the field:
The work has led to:
* Please give a summary of the nominee´s achievements in the box below (please no more than 8 lines)

Detailed descriptions (no more than 10 pages) of the nominee´s achievements can be attached in the field to the right. Alternatively the document can be sent by mail or email to the address given at the bottom of this template. Click on the button and choose the file that you want to attach. Please note: Only PDF documents of a maximum size of 1,5 MB are accepted.

4. Supporting documents
If you wish to supply additional documents to support your nomination, please attach these in the fields below. Alternatively the documents can be sent by mail or email to the address given at the bottom of this template.

Please give a short description of the first attached documentation

Please attach the first supporting document here. Click on the button and choose the file that you want to attach. Please note: Only PDF documents of a maximum size of 1 MB are accepted.

Please give a short description of the second attached documentation

Please attach the second supporting document here. Click on the button and choose the file that you want to attach. Please note: Only PDF documents of a maximum size of 1 MB are accepted.

5. Additional details
If you do not wish to attach supporting documentation or a detailed description of the nominee´s achievements you may send these to the following address or email: Stockholm International Water Institute Drottninggatan 33 SE- 111 51 Stockholm Sweden Email: katarina.andrzejewska@siwi.org (Please note that attached files shall not exceede the size of 1,5 MB each)