INDUSTRY AWARDS NOMINATION FORM 2014 Deadline for return: Please submit this form to [email protected] by 28 February 2014. 1. Your contact details Please add your contact details so we can contact you for further details about this nomination if needed. Name Click here to enter text. Surname Click here to enter text. Job title Click here to enter text. Company Click here to enter text. Phone Click here to enter text. Mobile Click here to enter text. Country Click here to enter text. Email Click here to enter text. 2. Nominee contact details Please add the contact details of the individual or organisation you would like to nominate. Name Click here to enter text. Surname Click here to enter text. Contact details Click here to enter text. Job title Click here to enter text. Company Click here to enter text. Phone Click here to enter text. Mobile Click here to enter text. Country Click here to enter text. Email Click here to enter text. 3. Nomination details Please tick award for what you would like to nominate the above candidate/organisation. ☐ Lifetime Achievement Award The Lifetime Achievement Award is given to a CEO (or C-level executive) for achievements which made an outstanding contribution to the utilities industry, whether from a public or private company. The winner will be announced at the end of February. ☐ African Utility Executive of the Year This award celebrates the accomplishments within the past year of an individual in a senior position from an African water or power utility. ☐ African Power Utility of the Year Nominate the Power Utility in Africa that excels in any one or more of the following fields: Service delivery, project rollout, technology roll-out, revenue protection measures, loss reduction, grid integration and new energy sources. ☐ African Water Utility of the Year Nominate the Water Utility in Africa that excels in any one or more of the following fields: Service delivery, project rollout, technology roll-out, revenue protection measures, loss reduction, water quality and sanitation solutions. ☐ RSA Municipality of the Year Award for the top performing municipality or metro in South Africa in any of the following fields: Service delivery, project roll-out, technology roll-out, revenue protection measures, loss reduction, grid integration and new energy sources. ☐ Energy/Water Efficiency Project of the Year This award commends the efforts of any Energy and/or Water Efficiency Project by a large energy/water consumer commercial buildings, distribution systems, production plants, mines and agriculture, etc. – with the biggest savings during the past year. ☐ Clean Energy Project of the Year The Best Clean Energy Project rewards project launched by a utility, off-grid producer, IPP, government, minister, regulator or investor within the last year. ☐ Collaboration of the Year Award The Collaboration of the Year Award applauds any cross-border infrastructure partnership or PPPs between utilities, power pools, investors, EPCs, developers or IPPs. ☐ African Community Project of the Year The award for the Not-for-Profit or Community Involvement project with the biggest social impact – whether rural electrification, off-grid power or local skills development. 4. Motivation for submission Click here to enter text.
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