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Online Form - Australia Day 2025 Award Nomination

Nominations close at 5pm on Friday 15 November 2024. The Awards will be presented to the winners at the City's annual Australia Day event at Centennial Park on Sunday 26 January 2025.

Australia Day Award Nomination*

Citizen AwardYoung Citizen AwardCommunity Group/Event of the YearVolunteer of the Year

Nominee's details

Please enter the details of the person you are nominating for the 2025 Australia Day Awards.

Title:*

First name:*

Surname:*

Address:

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact number:*

Email:

Reasons for nomination
Please include nominee's contribution to the community, as well as past and present involvement in community groups. You may include attachments if you would like to provide additional information.

Please detail:*

Attach additional information here:

Max File Size: 10.00 MB
Allowed File Types: .avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx

Have the nominee's contributions been recognised elsewhere?*

YesNo

Nominator details

Please enter your contact details.

Title:

First name:*

Surname:*

Address:

Street Address:*

City:*

State:*

Post Code:*

Country:*

Contact number:*

Email:*

Details of person supporting your nomination

Please enter the details of a second person who supports your nomination.

Title:*

First name:*

Surname:*

Address:

Street Address:*

City:*

State:*

Post Code:*

Country:

Contact number:*

Email:*

Name of group/organisation (if applicable):