OFFICIAL NOMINATION FORM 2014 EDITION

CATEGORY

The Gabarron International Award for (*)_______________

 (*) Please select one of the following categories: a) Visual Arts, b) Scenic Art, c) Science and Research, d) Sports, e)Economics f) Literature, g) Thought and Humanities, h) Restoration i) Conservation, j) Lifetime Achievement

INFORMATION ABOUT THE CANDIDATE

Name:_________________________________________________________________________________

Address:_______________________________________ Country: _________________________________

Telephone:___________ Fax: ____________ E-mail: ____________________________________________


INFORMATION ABOUT THE PARTY PRESENTING THE NOMINATION

Name:__________________________________________________________________________________

Institution:___________________________Position: _____________________________________________

Address:_______________________________________ Country: __________________________________

Telephone:___________ Fax: __________ E-mail: _______________________________________________

Signature and/or stamp of the person presenting the nomination:

Signed: ___________________________________ Date:__________________________________________


DOCUMENTATION ANNEXED TO THIS CANDIDACY

Please enclose the following documents to accompany this candidacy:

  1. Curriculum vitae
  2. Adhesions and letters of recommendation to the candidacy.
  3. Other documents

Send before 8 PM on the 22nd of December 2014 to:

Gabarron Foundation: 149 East 38th Street.New York, NY 10016.  USA

Web: www.gabarron.org· E-mail: awards@gabarron.org


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