Nominee Information
First Name
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Last Name
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Title/Position
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Institution/Organisation
Country
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ESCRS Membership Number
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How many years does the nominee have in Cataract and Refractive Surgery?
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Humanitarian Contributions
Please describe the nominee's humanitarian contributions in the field of cataract and refractive surgery. Include details such as the scope of the nominee's work, the populations served, and the impact of your efforts.
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0/500
Please describe how the nominee's work has improved patient outcomes and expanded access to eye care in underserved countries.
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0/500
Please describe how you have demonstrated innovation and leadership in your humanitarian efforts related to cataract and refractive surgery.
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0/500
Please provide a statement outlining the nominee's humanitarian contributions in the field of cataract and refractive surgery. Your statement should highlight the nature, scope, and impact of the nominee's work, including any outreach, service delivery, training, or advocacy efforts.
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0/500
Supporting Documentation
Please upload two letters of recommendation that support your nomination. At least one letter should be from a professional peer or supervisor familiar with the nominee's work.
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Please upload the nominee's current CV. Their CV should include relevant professional experience, education, certifications, publications, and any humanitarian or volunteer work related to cataract and refractive surgery.
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