Nomination Form - European Mobility Expo

1. Please read the conditions for the category in which you wish to nominate a candidate carefully.
2. Fill in the form once you have all the information required: you cannot save it and come back to it later.
3. Once the form has been validated, you’ll receive a confirmation email.
You have until midnight on May the 6th to take part!

Nomination Form

Details of the person making the nomination

Last name *

Surname *

Prénom2 *

Company *

Function *

Address 1 *

Rest of address

Postal code *

City *

Country *

Fix number phone 1

Number phone 2

Please specify at least one phone number at which you can be.

Email address * Please provide a valid email address, otherwise we will be unable to contact you.

Nomination category *

About the nominee

Nom *

Prénom *

Age Specify the person’s age only if your nomination is for the Best Young ‘Talent’ category.

Company *

Function *

Address 1

Rest of address

Postal code

City

Country *

Fix number phone 1

Number phone 2

Indiquez au moins un numéro de téléphone où on peut joindre le candidat si besoin !

Email address * Please make sure you enter a valid email address – otherwise we won’t be able to contact the candidate!

Presentation of the nominee * Please give a clear, objective explanation of why you are nominating this candidate. Make sure you supply relevant arguments and supporting grounds.

If you wish to supply additional details to help us assess your nomination, you can upload up to 5 supporting files (.ppt, PDF, or Word formats accepted).

Send your file (5MB max)