• The Mayor's Special Award

  • Format: (000) 000-0000.

  • Nominator Details

  • Format: (000) 000-0000.

  • Supporting Evidence

  • Supporting evidence provided*
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  • Eligibility Confirmation

  • Confirmation of Eligibility*
  • Eligibility Details*
  • Nominee Age Confirmed*
  • Nominee Public Recognition Consent*
  • Nominee Residency Within Boundary Confirmed*

  • Declaration

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  • Date*
     - -
    2 digit month, 2 digit day, 4 digit year

  • Privacy Statement

    The personal information provided in this nomination form will be used solely for the purpose of administering the award nomination process, including assessing nominations and contacting nominees where necessary.

    By submitting this form, you confirm that, to the best of your knowledge, the information provided is accurate and that you have informed the nominee that you are sharing their personal information for the purposes of this award nomination, where appropriate.

    All personal data will be processed in accordance with the UK GDPR and the Data Protection Act 2018. Information will be kept securely, accessed only by those involved in the administration and judging of the awards, and retained only for as long as necessary. For further information about how we collect, use, store and protect personal data, please refer to our Privacy Policy.

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