40 Under 40 Nomination Form

Name of Nominee (Full Name)*

Date of Birth*

Registration Number*

Adress*

Telephone Number*

Email Address*

Is this person a current undergraduate/graduate student or a graduate of Kardan University? *

Program Studied *

Year of Graduation (If Alumni) *

Describe why this nominee 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. *

Introduce two references who can verify the contents of this application form.

Reference 1

Reference 2

Your Contact Information