The Malaysian Australian Alumni Awards 2024 Nomination Form

Award Category

Please tick the category of award the candidate is being nominated for:*

Distinguished Alumni Award 2024

Distinguished Young Alumni Award 2024

Female Alumnus of the Year Award 2024

Young Entrepreneur Award 2024

Community Achievement Award 2024

Nominator's Details

Full Name*

Mobile Number*

Email Address*

Designation

Organisation

Australian University/Alumni Chapter*

Proposed Candidate

Salutation

Tan Sri

Puan Sri

Datuk

Datin

Prof

Mrs

Other

Name in Full*

Mobile Number*

Email*

Malaysian Identification Card (IC) Number*

Australian University Graduated from*

Designation

Organisation

Please provide a brief biography of the candidate (maximum 500 words)*

Please outline why this candidate is worthy of this award - their fields of expertise and achievements to date against any of the relevant criteria (maximum 500 words)

Supporting Documents

Drop files here or

Max. file size: 512 MB, Max. files: 5.

Max. 5 pages. Anything more than 5 pages will be disregarded and only the first 5 pages will be considered.

Please provide a brief synopsis about the candidate in 500 words or less. This should include his/ her background, education, career achievements, personal accomplishments, and any other relevant information that he/ she would like to share with the audience should he/ she be a winner of the award. The synopsis will be read aloud at the Australian Alumni Gala Dinner where the award will be presented, so please make it engaging and impactful, and ensure it is written in a way that is easily understandable by a diverse audience.*

Please provide a high-resolution portrait photo of the candidate that will be displayed during the award ceremony. The photo should be in either JPG or PNG format, with a minimum resolution of 300 dpi. Please ensure that the photo is a recent and clear representation of the candidate.*

Accepted file types: jpg, png, Max. file size: 512 MB.

Declaration*

I hereby certify that the information provided is true and correct to the best of my knowledge.

Kindly be advised that attendance at the Australian Alumni Gala Dinner is compulsory for all semi-finalists. During the dinner, the finalists will be revealed, and the winners will be honoured with their respective awards by the Australian High Commission & the Malaysian Australian Alumni Council.

Note: Senior Officials of the Australian High Commission will review all nominations and recommend potential winners to be presented to the Australian High Commissioner in Kuala Lumpur for his final selection.

{all_fields}

Name

This field is for validation purposes and should be left unchanged.