Energy Awards Nomination Form

SAEE CONFEDERATION ANNUAL ENERGY AWARDS 2017
NOMINATION FORM
Submit your nominations to the Southern African Energy Efficiency Confederation
(SAEEC) and stand a chance to be presented with one of our prestigious at the annual
Banquet and Awards Ceremony on the evening of 14 November 2017 at Emperors
Palace, Gauteng. This event will also celebrate the official opening of the 12th Southern
African Energy Efficiency Conference (2017SAEEC) to be held from 14-15 November
2017 at Emperors Palace, Gauteng, South Africa.
A. Entrant / Nominator Details
1. I am the ☐ Entrant | ☐ Nominator of the entrant
2. Nomination for ☐ Company | ☐ Individual
3. Name of nominated
4. Relationship with the candidate you have nominated:
5. Please fill in your details:
Title:
Initials:
Surname:
Name:
ID Number:
Tel No:
Cell No:
Email:
Company:
Occupation:
Sector:
Address 1:
Address 2:
City:
Code:
Southern African Energy Efficiency Confederation
6. Category you wish to enter or nominate for?
1.
Energy Newcomer of the Year
☐
2.
Energy Company of the Year
☐
3.
Energy Service Company (ESCO) of the Year
☐
4.
Energy Manager / Professional of the Year
☐
5.
Energy Project of the Year
☐
6.
Female in Energy Award
☐
7.
Academia Excellence in Energy Award
☐
8.
SAEEC Service Award
☐
9.
Acknowledgement of International Awards
☐
10. Excellence Award in Energy
☐
11. Hall of Fame
☐
B. Nominated Company / Individual Details
Please supply contact details for the Company/Individual you are nominating:
Title:
Initials:
Surname:
Name:
ID Number:
Tel No:
Cell No:
Email:
Company:
Occupation:
Sector:
Address 1:
Address 2:
City:
Code:
Southern African Energy Efficiency Confederation
Provide a brief summary, not exceeding 150 words, describing the main
accomplishments leading to the nomination of this company/individual. This will be used at
the ceremony if the nominee is the winner. If more than 200 words is received the entry
will be rejected.
Attach a motivation letter, for this nomination, explaining in no more than 1,000 words
why this company/individual should receive this award. Please be sure to refer to the
criteria for this category. If more than 1,000 words is received the entry will be
rejected.
Send completed form, on or before : Thursday, 31 August 2017 at 5:p.m.
with all relevant documentation to:
the SAEEC Administration Office
Tel: +27 (0) 63 2358031 (Christine Dunbar)
Email: [email protected]
www.saee.org.za
Southern African Energy Efficiency Confederation