SEOUL PEACE PRIZE

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Nomination Form

□ Please fill this nomination form and send us it no later than March 31, 2020.

You may send it by mail, fax, or e‐mail.

□ Address : Seoul Peace Prize Cultural Foundation

Olympic Park, 424, Olympic-ro, Songpa‐gu, Seoul 05540 Korea

Tel. +82-2-2203-4096∼8     Fax. +82-2-417-1982

□ Homepage : http://www.spp.or.kr

E‐mail : sppcf@spp.or.kr

□ You can nominate up to three candidates(individuals or institutions).

□ You may leave blank the items for which you do not have information.

□ Your recommendation is guaranteed to be confidential.

□ This nomination form can be duplicated if needed.

Data on Nominator

○ Name :

○ Title :

○ Institution :

○ Address :

○ Phone :

○ Email Address :

○ Date :

○ Signature :

SEOUL PEACE PRIZE CULTURAL FOUNDATION

SEOUL PEACE PRIZE 2020

Data on Nominee (Individual)

○ Name :

○ Nationality :

○ Title :

○ Institution :

○ Date of Birth :

○ E‐mail Address :

○ Curriculum Vitae :

○ Reasons for Nomination :

SEOUL PEACE PRIZE CULTURAL FOUNDATION

SEOUL PEACE PRIZE CULTURAL FOUNDATION

Date on Nominee (Institution)

○ Name of Institution :

○ Location :

○ Representative :

○ Year Founded :

○ Homepage :

○ Purpose of Goal of Institution :

○ Reasons for Nomination :

SEOUL PEACE PRIZE CULTURAL FOUNDATION

Additional Page

SEOUL PEACE PRIZE 2020