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2. 504. 92. 40 45 Fax 32. 2. 504. 92. 10 chantal.mairesse frs-fnrs. be NOMINATION FORM INBEV-BAILLET LATOUR HEALTH PRIZE 2012 Neurosciences Submission Deadline September 30 2011 CANDIDATE Surname First name Date of birth Nationality Position and title Professional address Phone E-mail NOMINATED BV Address Date Signature 1. fnrs Fonds Weten8chappelijk Onderzoek Research Foundation - Flanders LA lIBERTI DE CHERCHEI t Contact Tel* 32. 4. 2011 F*R*S*-FNRS Fonds de La Recherche...
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Individuals who are interested in applying for a nomination or recognition from the organization or institution represented by the form.
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Nomination form latour is a document used to nominate an individual for a certain position or award.
Any individual or organization wishing to nominate someone for the specific position or award must file the nomination form latour.
To fill out the nomination form latour, you need to provide the required information such as the nominee's name, contact details, qualifications, and reasons for the nomination.
The purpose of the nomination form latour is to gather all the necessary information about the nominee and their qualifications for evaluation and consideration.
The nomination form latour typically requires information such as the nominee's name, contact details, professional background, relevant experiences, and supporting documents for their qualifications.
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