Nomination for Chancellor's Medal

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Nomination for Chancellor's Medal

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1. Nominee details
If known
2. Nominator details
3. Supporting information

Please discuss the nomination with your nominee and provide supporting information in relation to each of the following criteria.

The nominee's record will be accessed directly, however any further information in relation to specific academic activities should be included here.
4. Nomination declaration

In choosing to submit this application I declare that I have discussed the application with the nominee and that, to the best of my knowledge, the information provided herein is true and correct.

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