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OFFICIAL NOMINATION FORM 2008 EDITION

CATEGORY

 

Cristóbal Gabarrón Foundation International Award for (*)__________________________________

 

(*) Please select one of the following categories:  a)Art, b)Scenic Art, c) Science and Research, d) Sports, e) Economics, f) Literature, g) Thought and Humanities, h) Restoration and Conservation i) Lifetime Achievement.

 

 

INFORMATION ABOUT THE CANDIDATE

 

Name: ____________________________________________________________________________

 

Address: _________________________________________ Country: ________________________

 

Telephone: _______________ Fax: _________________ E-mail: ____________________________

 

 

INFORMATION ABOUT THE PARTY PRESENTING THE NOMINATION

 

Name: ____________________________________________________________________________

 

Institution:___________________________________________ Position: ______________________

 

Address: ____________________________________ Country: _____________________________

 

Telephone: _______________________ Fax: _____________________ E-mail: ____________________________________________

 

Signature and/or stamp of the person presenting the nomination:

 

Signed: ______________________________________ Date: _______________________________

 

 

DOCUMENTATION ANNEXED TO THIS CANDIDACY

 

Please enclose the following documents to accompany this candidacy:

1.       Curriculum vitae

2.       Adhesions and letters of recommendation to the candidacy

3.       Other documents

 

 

 

 

 

 

Send before 8 PM on the 10 th of June 2008 to:

Fundación Cristóbal Gabarrón · C/ Rastrojo c/v Barbecho, s/n · 47014 · VALLADOLID · SPAIN

Tel.: + 34. 902.15.44.75  ·  Fax: + 34.983.36.22.23 · www.FCGInternationalAwards.org · E-mail: premiosfcg@fc-gabarron.es

 

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