Nomination form for Gold Medal | The Royal Town Planning Institute

Nomination form for Gold medal

Please carefully read the submission criteria before completing the form below. Please send any additional documents required under the submission criteria including supporting statements and the CV of the proposed candidate to governance@rtpi.org.uk

Submissions close on Thursday 23 October at 17:00

Name of nominee

Membership number of nominee

Name of the proposer

Membership number of the proposer

Email address of the proposer

Please note that the proposer should have access to a full history and evidence of the nominee and their achievements.

Please provide names, membership numbers and contact details of four supporters of the nomination:

Please provide contact details for enquiries about the nomination if different from your email address

Please provide the basis for the nomination explaining clearly fulfilment of criteria mentioned under section 3 (A) along with any one or more than one criteria mentioned under section 3 (B); 3 (C) or 3 (D) to receive the Gold Medal (not more than 1000 words). This should be uploaded in Word format.

Summary Please add any other relevant information

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