Fellows Nomination Form

BASIC INFORMATION

Name of Nominator *

Name of Nominator

Name of nominator or representative of constituent society submitting the nomination.

First Name

Last Name

Organisation *

Please select

If others, please state:

Email Address of Nominator *

Contact number of Nominator

e.g. 65891111

Name of Nominee *

Name of Nominee

First Name

Last Name

Email of Nominee *

Contact Number of Nominee

e.g. 85964123

Supporting Information and Documents

Please email your recommendation letter to singaporenas@gmail.com

Suggested citation *

In less than 100 words. E.g. “For his fundamental work in developing a method of Poisson approximation”

Supporting paragraph *

(less than 500 words)

Link to Nominee's CV or website

(If available. Otherwise, please email it to singaporenas@gmail.com together with your supporting letter)

http://

*Compulsory