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Women and Youth in Democracy in Sub-Saharan Africa (WYDE)

Nomination form
 
Name and address of the Nominating Organization 

Relation (if any) between the Nominating Organisation and the Nominee

Information regarding the Nominee

Full name

Address

Email address _____________________________________________

Phone number _____________________________________________ (including country code)

Date of birth _____________________________

Place of birth _____________________________

Gender _____________________________

Language skills (list the Nominee’s language skills in English and French. Please note that the
Nominees must be able to communicate fluently in English or French to be able to take part).

Nationality/nationalities
Brief description of previous and current occupation of the Nominee

Has the Nominee confirmed their willingness and availability to take part in the Project as per
the Call for Nominations? (Yes/No)

_____________________________
Description of the activities and engagement by the Nominee demonstrating their suitability for
taking part in the Project, according to the criteria set out in the Call for Nominations (500
words maximum).

Please send completed application, including this Submission Form and your Cover Letter, to:  
WYDE@kofiannanfoundation.org by 10 March 2023 at the latest.

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