Nomination Form

First Name*
Last Name*
Email*
Address*
City*
Postal Code*
Telephone*
Mobile No.*
Company Website*
LinkedIn Link*
Questionnaire:
Provide a biography/profile of the nominated individual*
(500 words max)
Provide a list of any Awards received by the nominated individual (if any)*
Provide the nominated individual/business' website*
Year company started*
Number of employees*
Turnover of the Company*
New concepts and solutions for existing or new industry challenges; technically, digitally and/or commercially*
Business Description*
Detail the key aspects of your business
Growth Information*
Tell about your (entrepreneur) risks taken, new markets developed, or market niches established, opportunities created, and major challenges overcome from the inception of the business
Do You Agree to the Terms Above?*
- Yes, I do
- No, I don't