Australian Broking Awards 2012 -- Individual questionnaire

Ensure you’re in the running to achieve the industry’s top accolade in the Australian Broking Awards 2012, to be held 27 July.

Nominations are now open. To register your business or that of a peer’s for the Australian Broking Awards please complete the following questionnaire. All questionnaires must be completed by the 9 April 2012.

In addition to being recognised as an industry leader you’ll also have the chance to win thousands of dollars in cash and prizes.

For further information please visit www.australianbrokingawards.com.au or call 02 9922 3300.

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* 1. Are you nominating yourself or a peer to be considered for an Australian Broking Award?

Myself

Peer

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* 2. If you are nominating a peer to be considered for an Australian Broking Award please provide the following information:

Nominator's Name:

Nominator's Company:

Nominator's Phone number:

Nominator's Email:

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* 3. Please indicate which individual awards you would like to nominate your business/ a peer's business for:

Finance Broker of the Year

Residential Broker of the Year

Newcomer of the Year

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* 4. Please provide the nominated broker's demographic information:

Name:

Business name:

Title:

Phone number:

Email address:

Time as a broker:

Geographic location (suburb and state):

Aggregator/brokerage:

Aggregator/brokerage state manager:

Highest level of education attained:

Number one lender:

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* 5. Please detail the following broker business information for the calendar year 2011 (1 January 2011-31 December 2011). This information will be corroborated with the broker's aggregator/ brokerage's state manager and used to assess your nomination:

Volume of residential mortgages written:

Number of residential mortgages written:

Volume of commercial loans written:

Number of commercial loans written:

Volume of business/asset finance loans written:

Number of business/ asset finance loans written:

Value of insurance policies written:

Number of insurance policies written:

Value of 'other business' written:

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* 1. Are you nominating yourself or a peer to be considered for an Australian Broking Award?

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* 2. If you are nominating a peer to be considered for an Australian Broking Award please provide the following information:

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* 3. Please indicate which individual awards you would like to nominate your business/ a peer's business for:

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* 4. Please provide the nominated broker's demographic information:

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* 5. Please detail the following broker business information for the calendar year 2011 (1 January 2011-31 December 2011). This information will be corroborated with the broker's aggregator/ brokerage's state manager and used to assess your nomination:

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* 6. In 150 words or less please describe your point of difference as a broker and what makes your business unique?