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WINNERS

Rising Star

Your details

This is so we can contact you if your nomination is successful

First Name *

Surname *

Organisation *

Position in Business *

Email *

Phone *

Nominated individual’s Details

First Name *

Surname *

Organisation *

Position in Business *

Area of specialism *

Address line 1 *

Address line 2 *

Town/City *

Postcode *

Phone *

Email *

In what way have you demonstrated professional excellence within your sector in Wales? *

Why should you receive special recognition by winning this award? *

Would you like to provide us with any additional information to support your application? *

Interested in tickets if shortlisted? *

Yes please No thanks

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