Nomination Application

Thank you for taking the time to complete the application and being part of the solution to hunger.

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Name of person completing the application *

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Relation to nominated *

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• Be involved in the process
• Stay anonymous

Contact number *

Email *

Full name of community/school/area/church/township

Physical Address

ProvinceGautengKZNWestern CapeNorthern CapeEastern CapeFree StateLimpopoMpumalanga North West

Short motivation for the nomination

Total number of people that will benefit from this project.

Name of person on site *

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Direct Contact Number

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