2024 Australian Synchrotron Lifetime Contribution Medal

Please complete the below nomination form.

Self-nominations are not allowed.

Applications close 14th October 2024. (11:59pm AEST)

Nominee:

Title (required)

First name (required)

Last name (required)

Affiliation (required)

Email (required)

Nominator:

Title

First name

Last name

Affiliation

Relation to nominee

Supporting information:

Reason for nomination (required)

Further information

Curriculum Vitae (required)

Please upload 2-page CV

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150 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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