IChemE medals and prizes

nomination form

Medal/Prize

Person nominated

Company/organisation

Your name

Email address

Telephone

Company/organisation

Summary of reasons for nomination

Please submit your full nomination on the reverse.

You should provide all relevant details and links to references can be included. However please note the judging panel will only assess information provided in this form – any prior knowledge is dis-regarded and they will not undergo any additional research.

Your completed nomination form should be sent to medals@icheme.org

The Medals & Prizes Committee will meet in December to select the winners.

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Reasons for nomination ‒ no more than 600 words (use separate sheet if necessary).

For more information about individual medals, how to nominate and deadlines visit www.icheme.org/medals

LC 0094_19