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:
- Curriculum vitae
- Adhesions and letters of recommendation to the candidacy.
- 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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