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GG2 Outstanding Achievement in Medicine Award

Awarded to an individual who has made an outstanding contribution to the field of medicine.

ENTRANT/NOMINEE DETAILS

Full Name:*

Job Title:*

Business Name:*

Full Business Address:*

Business Telephone:*

Email:*

Web Address:

Twitter handle:

Date of Birth:*

PLEASE ANSWER ALL THE FOLLOWING QUESTIONS

1. Please outline why you or the nominee should be considered for the GG2 Outstanding Achievement in Medicine Award*

2. Please outline how the nominee has excelled in the field of medicine or medicine research?*

3. Please outline the impact of this work in medicine and how it has advanced medical practice.*

4. List, all qualifications and institutions where the nominee studied.*

5. Provide a brief biography of the nominated individual.*

6. How did you hear about the awards?*

*500 words limit

Please upload a selection of photos of the outside and inside of your property.

Note:- File Size Less Than 2 MB.
Please upload only pdf,doc,jpg,png or jpeg file

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Note:- To reserve a seat or a table at the Property Awards or for any further information about the Awards please contact Tanuja Parekh, events manager tanuja.parekh@amg.biz

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Enter now

GG2 Outstanding Achievement in Medicine Award

Awarded to an individual who has made an outstanding contribution to the field of medicine.

ENTRANT/NOMINEE DETAILS

PLEASE ANSWER ALL THE FOLLOWING QUESTIONS

Please upload a selection of photos of the outside and inside of your property.

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