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40 Under 40 Nomination Form

Name of Nominee (Full Name)*
Date of Birth*
Registration Number*

Adress*
Telephone Number*

Email Address*
Are you /Is this person a current student or a graduate of Kardan University? *

Program Studied *
Year of Graduation (If Alumni) *

Area of Achievement *

Describe why you / this individual should receive the Kardan University’s 40 Under 40 Award? *

List the relevant background and education including any personal or professional experiences. Kindly indicate any awards, achievements or other related accomplishments. *

Kindly offer two references who can verify the contents of this application form.
Reference 1





Reference 2






Your Contact Information (if you are nominating someone else)






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