The Lord Mayoral Awards Nomination Form 2023

Your contact details (person making the nomination)
Please provide details of the person you are nominating
Nomination Category (please select a category for your nomination)
A person who has made an outstanding contribution to the community advocating for the rights and well-being of people with disability
A person under 25 who makes an ongoing contribution to their school, workplace or community advocating for the rights and well-being of people with disability
One file only.
64 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Privacy Statement

Information provided in this form will be used for the assessment process and award announcements. The person nominating may be contacted to clarify any information contained within the form. City of Darwin may disclose the information provided by you to a third party in accordance with the NT Information Act or our Privacy Policy which is available on our website.

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