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Lifechanger Nominee Form
Fill out the form below to nominate a candidate in the NGO or Social Activist categories.
Nominee's Name:
Nominee's Email:
Nominee's Phone Number:
Organization Name (if applicable):
Nomination Category:
Select a category
NGO
Social Activist
Describe the nominee's impact and achievements:
Supporting Documents (if any):
Referee's Name:
Referee's Contact Information:
