2026 || Nominate

Nominee Information

Full Name of Nominee *Please fill the required field.

Position | Title *Please fill the required field.

Organisation *Please fill the required field.

Telephone *Please fill the required field.

Email *Please fill the required field.

Address *Please fill the required field.

Gender *

Female

Male

Please fill the required field.

Town / City

State *Please fill the required field.

Country *Please fill the required field.

Category of Nomination *

Leadership in Governance

Cultural Preservation

Youth Empowerment

Community Service

Full Name of Nominator *Please fill the required field.

Relationship to Nominee *Please fill the required field.

Contact Number *Please fill the required field.

Email Address: *Please fill the required field.

Describe the nominee’s key achievements *Please fill the required field.

What measurable impact has the nominee made in their community *Please fill the required field.

How does the nominee’s work reflect the values of King Koko *Please fill the required field.

I hereby confirm that the information provided is accurate to the best of my knowledge.

Yes

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