numees-nomination-form

Nomination Form

Are you the Nominee or a Nominator?

Please select the category for your Nomination

Nominee Name

Nominee Company / Organization

Nominee Position / Title

Nominee Email Address

Nominee Phone Number

Website link of your Startup

In which country is your Startup located

Founding year of your Startup

Number of Employees

1 - 10 11 - 50 51 - 100 > 100

If you are the Nominee please skip this step by clicking the Next button.

Nominator Name

Nominator Position / Title

Nominator Email Address

Nominator Phone Number

Please provide a brief statement (500 words or less) explaining why you believe the nominee deserves to receive the award. Please be specific in highlighting the nominee's achievements, contributions, and impact in their respective field

Nominator Statement

Supporting Documents
Please attach any supporting documents that may be relevant to the nomination, such as press releases, articles, testimonials, awards, or other materials that showcase the nominee's accomplishments.

Upload Supporting Documents

Acknowledgment

I Accept

By submitting this nomination, I affirm that the information provided is accurate and complete to the best of my knowledge. I understand that the selection process is confidential and that the judging panel’s decision is final. If the nominee is selected to receive the award, I grant permission for their name and likeness to be used in promotional materials related to the award.