Oscars Nomination Form Blantyre Telegraph News for Community Good causes

Your Own Name *

First

Last

Your Telephone Number *

So we can contact you if your nomination is chosen

Your Email Address *

Please enter your email.

Name of Person you are Nominating *

First

Last

Contact Telephone of Person you are Nominating (if available)

Optional. If none is provided here, we'll need to contact you directly for more information later.

Is Your Nomination Male or Female? *

Please choose from the dropdown

Does your Nomination Live in Blantyre? *

Ideally they should be connected to Blantyre

Which Category fits your Nomination? *

Please choose ONE Category from the 5 listed

Tell us briefly why you're Nominating this person *

In no more than 250 words