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\b\f1\fs32\lang4105\langfe1033\langnp4105\insrsid1394892 OUTSTANDING PINOY 2012 
\par }{\rtlch\fcs1 \ab\af1\afs32 \ltrch\fcs0 \b\f1\fs32\lang4105\langfe1033\langnp4105\insrsid1394892 Awards Nomination Form
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 
\par 
\par }{\rtlch\fcs1 \ab\ai\af1 \ltrch\fcs0 \b\i\f1\ul\lang4105\langfe1033\langnp4105\insrsid1394892 Part A
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\ul\lang4105\langfe1033\langnp4105\insrsid1394892 Details of Nominator
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 
\par Name of Nominator\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par 
\par Community\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par Address\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par City\'85\'85\'85\'85\'85\'85.  }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1036\langfe1033\langnp1036\insrsid1394892 Province\'85\'85\'85\'85\'85\'85. Postal Code\'85\'85\'85\'85\'85\'85\'85
\par 
\par Phone\'85\'85\'85\'85\'85\'85.. Fax\'85\'85\'85\'85\'85\'85 Email\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 
\par }{\rtlch\fcs1 \ab\ai\af1 \ltrch\fcs0 \b\i\f1\ul\lang4105\langfe1033\langnp4105\insrsid1394892 Part B
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\ul\lang4105\langfe1033\langnp4105\insrsid1394892 Details of Nominee
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 Name of Nominee\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par Community \'85\'85\'85\'85\'85\'85\'85\'85..\'85\'85\'85\'85\'85.
\par 
\par Category for which recommended\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par 
\par Address\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par City\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85Province\'85\'85\'85\'85\'85\'85\'85\'85Postal Code\'85\'85\'85\'85\'85\'85\'85
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1036\langfe1033\langnp1036\insrsid1394892 Phone\'85\'85\'85..  Fax\'85\'85\'85\'85\'85\'85\'85 Email\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 State in five lines why you are recommending the person 
\par 
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par 
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par 
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par 
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par 
\par Give three specific examples of above statement:
\par 
\par a\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par b\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par c\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par 
\par Names and contact details of three other independent persons to whom the reference can be made)
\par 
\par 1\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par 2\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par 3\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..
\par \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85}{\rtlch\fcs1 \ab\ai\af1 \ltrch\fcs0 \b\i\f1\ul\lang4105\langfe1033\langnp4105\insrsid1394892 
\par 
\par 
\par Part C
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 
\par I \'85\'85\'85 (name of Nominator)\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85 do hereby affirm that the facts stated above are correct and also that I have no personal relationship with the nominee.  
\par 
\par I also confirm that the nominee has not been convicted of any offence by any court of law.
\par 
\par I understand that that in the event of any fact being found wrong, the award, even if given, shall be withdrawn.
\par 
\par 
\par 
\par 
\par Signatures of the Nominator
\par 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1036\langfe1033\langnp1036\insrsid1394892 Place\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85. Date \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par }{\rtlch\fcs1 \ab\ai\af1 \ltrch\fcs0 \b\i\f1\ul\lang1036\langfe1033\langnp1036\insrsid1394892 
\par 
\par Part  D
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang1036\langfe1033\langnp1036\insrsid1394892 
\par }{\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 I \'85\'85\'85( Name of Nominee)\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85do hereby affir
m that I shall, if accepted, accept the award and shall be present personally at the award ceremony.
\par 
\par  I also confirm that I have no relationship with the nominator. 
\par 
\par I also confirm that I have not been convicted of any offence by any court of law and no criminal case is pending against me in any court. 
\par 
\par I understand that that in the event of any fact being found wrong, the award, even if given, shall be withdrawn. 
\par 
\par 
\par 
\par 
\par 
\par Signatures of the Nominee
\par 
\par Place\'85\'85\'85\'85\'85\'85\'85\'85\'85.  Date \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.
\par 
\par Note:
\par 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ltrpar\ql \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls1\adjustright\rin0\lin720\itap0 {\rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105\insrsid1394892 
Incomplete form in any way shall be rejected without any further reference. Each item must be filled in.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105 \hich\af1\dbch\af0\loch\f1 2.\tab}Submission of nomination does not mean acceptance by the award committee or automatic award. 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105 \hich\af1\dbch\af0\loch\f1 3.\tab}The decision of the Award committee is final and binding and no communication shall be entertained.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af1 \ltrch\fcs0 \f1\lang4105\langfe1033\langnp4105 \hich\af1\dbch\af0\loch\f1 4.\tab}the complete form with necessary documents must be submitted to the Chair of the Award committee before the final date. 
\par }}