Nominations – AFRICA

NOMINATION FORM

Afreximbank-FARA Research-Innovation Competence in Agriculture (AFRICA) Awards

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A. INFORMATION ON CANDITATE(S)

Name of Candidate

Position or title

Institution

Mailing address

Country

B. INFORMATION ON NOMINATOR(S)

Nominator 1

Name

Full name of Nominator 1

Position or title

Position and title of Nominator 1

Institution

Institution of Nominator 1

Email of Nominator 1

Country

Country of Nominator 1

Date

B. INFORMATION ON NOMINATOR(S)

Nominator 2

Name

Full name of Nominator 2

Position or title

Position and Title of Nominator 2

Institution

Institution of Nominator 2

Email of Nominator 2

Country

Country of Nominator 2

Date

C. INNOVATION/POLICY/ENTREPRENURSHIP NARRATIVE

(i) Describe the impact of the innovation/policy or entrepreuniship solution, with no more than 10 relevant publications referenced within the narrative. (500 words maximum)

(ii) List full citations of the 10 publications referenced within the prior narrative.

(iii) A synopsis of not more than 50 words that sums up the candidate’s most important contribution to agricultural research and innovation, policy or private sector. Describe in depth the specific accomplishment of candidate.

D. VALUE-ADDED NARRATIVE

Provide a narrative of not more than 250 words describing any other significant contribution of the candidate’s work(s) to society.

Date

Recommended CV Format AFRICA Prize (Please note: Do not affix photograph)
1. Name:
2. Place of Birth/Nationality:
3. Date of Birth:
Current Address (including e-mail, telephone no.):
4. University Education, with dates:
5. Academic Qualifications:
6. Scholarship, Fellowship and Prizes:
7. Honours and Distinctions:
8. Membership/Fellowship of Learned Societies:
9. Details of Work Experience:
Current place of employment
Previous places of employment (with dates):
10. Current Research Activities including Research Grants:
11. Publications/Patents:
(i) Books and/or articles in books:
(ii) Published papers in learned journals:
(iii) Patents/country of patenting (if any):

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