Nomination Form APAC 2019

Award Category - Individual

Guidelines: -
1. To fill up this form you might take around 10-15 minutes
2. Please answer precisely as possible
3. Attach any relevant documents (like CV, outcomes, statistics, photos, testimonials etc.)
4. Please mail the form and all the details to nominations@cisomag.com

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Awarded to individuals who has demonstrated outstanding leadership in enhancing cyber resilience.

Name of the Person

Organization’s Name

Designation

Country
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Contact Number
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Official Email ID

Gender (For Superwoman of the year)

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1. Award/s you would like to nominate (Pease select that apply)

CISO of the Year Best Cyber Law Professional of the Year

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(Male)
CIO of the Year
Best Cyber Law Professional of the Year
InfoSec Superwoman of the Year (Female)

Hall of Fame

Cybersecurity Social Media Influencer (Male)

Cybersecurity Social Media Influencer (Female)

2. Tell us about yourself in not more than 200 words

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3. Have you received any awards earlier? If yes, please mention the details.
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4. Why do you believe you are an eligible nominee for these awards?

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5. Please describe details of your major cyber security projects in last year? (Not
Applicable for Cybersecurity Social Media Influencer Awards)
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6. Mention your achievements in your current role and efforts you have made to
strengthen the security posture of your organization. (In not more than 300 words) (Not
Applicable for Cybersecurity Social Media Influencer Awards)

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7. Mention some of the cybersecurity challenges have you faced in your career so far?
(Not Applicable for Cybersecurity Social Media Influencer Awards)
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8. How have you handled those security challenges? (In not more than 200 words) (Not
Applicable for Cybersecurity Social Media Influencer Awards

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9. How big is your online community across all social media platforms? (Only Applicable
for Cybersecurity Social Media Influencer Awards)
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10. Which all social media platforms do you have an account on? (Only Applicable for
Cybersecurity Social Media Influencer Awards)

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11. How were you able to educate/inspire/influence the members of your online
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community through your social media posts. (3 instances) (Only Applicable for
Cybersecurity Social Media Influencer Awards)
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Declaration: I hereby declare that all the above mentioned information given by me is true and correct to
the best of my knowledge and belief.

Submitted by :

Date: 01 01 2019 Sign & Stamp

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EC-Council