International Award Committee member for the EuChemS Historical Landmark Award (HLAC) – Form

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Name of the proposer*
The proposer must be the President/CEO of a EuChemS Member Organisation
Prefix First name Last name
Email of the proposer*
From which EuChemS Member Organisation is the proposer coming from?:*
Supporting statement*
Max. 1500 characters with spaces
Full name of a nominee for the International Award Committee member for the EuChemS Historical Landmark Award (HLAC)*
Prefix First name Last name
From which EuChemS Member Organisation is the nominee coming from?*
If you would like to provide any additional information, please use the box below:
Max.1500 characters with spaces
By typing your name in the box below, you declare that the information provided in this form is true and accurate*
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