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Bradford Young Citizen Awards Nomination Form -

Fields marked with an * are required for the form to be submitted.

Details of the Person Completing This Form

Name of Person Completing This Form: *

Relationship with Nominee(s) *

Home Telephone No: *

Mobile No: *

Address *

I Would Like to Nominate the Following Individual/Group for the Bradford Young Citizen Awards

Name/Group *

Address *

Postcode *

Contact No: *

If you are nominating a group, please state the number of people involved *

Please Select Appropriate Sections: *

Please Select Age Range *

11 & Under

12-25

Email Address *

Please describe the Activity/Project/Achievement and explain your reasons for the nomination *