Name of Nominator *
Name of Nominator
Name of nominator or representative of constituent society submitting the nomination.
Please select
e.g. 65891111
Name of Nominee *
Name of Nominee
e.g. 85964123
Supporting Information and Documents
Please email your recommendation letter to
In less than 100 words. E.g. “For his fundamental work in developing a method of Poisson approximation”
(less than 500 words)
(If available. Otherwise, please email it to together with your supporting letter)