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* 1. Your First Name

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* 2. Your Surname

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* 3. Which unit do you work in?

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* 4. Your Email

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* 5. Your Contact Phone Number

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* 6. Name of the workmate or team you are nominating to be our next values Champion. (this could also be self-nomination)

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* 7. Which unit does this person or team belong to? 

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* 9. Is this a team or individual nomination? 

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* 10. Please tell us how this workmate or team demonstrates our values day-to-day?

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* 11. Please upload a photo of the person or team you are nominating

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