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Australia Day Awards Nomination Form
Nominations will close at 9am on Wednesday 3rd December 2025.
Details of the Nominee
Name, Contact Number, Address & Email Address
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Details of the Nominator (you) - Name, Contact Number & Email
Name, Contact Number, Address & Email Address
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Category you are nominating the nominee for
Sarus Crane Environmental
Sports Achievement
Citizen of the Year
Community Event
Community Spirit
Junior Citizen of the Year
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Summarise why your nominee should win this award
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If you have any technical issues with this form please email stephanief@richmond.qld.gov.au
SUBMIT
