Nomination Zilveren Zandloper 2016
This is a nomination for the innovation prize/ education prize*.
Candidate
Name:
Organisation:
Address:
Phone:
Fax:
E-mail:
Work field of the candidate:
Most important reason for the nomination:
Nominator
Name:
Organisation:
Address:
Phone:
Fax:
E-mail:
We request you to send this form before March 1st 2016 together with a CV of the nominated
candidate to one of the persons listed below. You can also contact them for more information on the
Awards.
Education award:
Aldrik Velders (WUR)
0317 482178
E-mail: [email protected]
Innovation award:
Annika van Rosmalen (HollandBIO)
06 14274822
E-mail: [email protected]