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Excellence in the Community Awards 2010

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Has the person being nominated had a permanent home or work address in the Down District Council area for the last 12 months preceding submission of the nomination?:
This nomination has been submitted by::
(If other, please give your name, address and telephone number below):
Category of Nomination
Please tick the category for your nomination:

I agree that all the information contained above is correct:
Please send a supporting photograph of the person being nominated to: marketing@downdc.gov.uk: