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JUSTICE AWARDS NOMINATION FORM
Please provide as much information as possible and note that an asterisk
*
means a compulsory field which must be completed.
NB: Closing date for submission is 15 August 2008.
Nominator - About
You
Title:
Associate Professor
Commissioner
Councillor
Detective Inspector
Dr
His (Her) Worship the Mayor of
His Honour Judge
Inspector
Judge
Justice
Major
Master
Mr
Mrs
Ms
Professor
Reverend Father
Senator
Sir
Sister
Superintendent
The Hon Judge
The Hon.
The Hon. Acting Justice
The Hon. Dr
The Hon. Justice
The Hon. Justice Sir
The Hon. Rev.
The Hon. Sir
The Right Hon.
The Right Hon. Lord Mayor of
The Right Reverend
*
First Name:
*
Surname:
*
(please include any Postnominals)
Position:
Organisation:
Address Line 1:
Address Line 2:
Suburb:
State:
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Post Code:
email:
*
Ph:
Type:
Home
Work
Mobile
Select the award you are nominating for
*
Justice Medal
Aboriginal Justice Award
Pro Bono Partnership Award
Law and Justice Volunteer Award
Nominee Details