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LNP Heroes Nomination
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Nominator Details
As the nominator, please enter your details below
Name
*
First Name
Last Name
Email
*
Phone
Membership number
*
I am a member of the LNP
*
- Please select -
Branch
SEC
FDC
Region
Nominee Details
I wish to nominate the following person as an LNP Hero:
Name
*
First Name
Last Name
Email
*
Phone
He/she is a member of the LNP
*
- Please select -
Branch
SEC
FDC
Region
Reasons for Nomination
*
Briefly state the main reasons why this person should be considered an LNP Hero
Phone
This field is for validation purposes and should be left unchanged.