Bokone Bophirima PROVINCIAL ports: ie Ce NORTH WEST SPORTS AWARDS 2023, NOMINATION FORM ‘Award Cates FEMALE (Please Tick) Team —/ Schoo! 23 Contact Telephone Number 24 E-mail Address. [Attach Photo of Nominee: Nomination Forms that are not accompanied by the photo and motivation letter willbe disqualified Physical Address of the Nominee 2.7 NOMINEES DETAILS ‘Please remember thet once nominate, the pane! hs rather short space of time to contact and confirm with the nominees beore the final announcement tis therefore Important that accurate and current contact desi of the nominees or hater manager are provided‘Coniact Name: Relationship withthe Nominee; Contact cell number: Email Address: Nominge's physical address as at end September 2023 [& Motivation for Nomination 2023. The nominating bod to submit Candidate | to submit one page document in support of thelr cancidate/ team / school / club et. “The motivation letter must be attached tothe nomination form. [| 4 Federation Afllte Detalles and Organisational Stamp (Wot Compuleory) | \“* Entering Party, 42. Telophone Details —