TOYM 2024 Form
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NOMINEE'S INFORMATION
Last Name
First Name
Middle Name
Title
Name to appear on Trophy
Contact Number of Nominee
Date of Birth
Email Address of Nominee
Profession
CATEGORY
- Select -
(a) Humanitarian Service and Social Work
(b) Arts and Culture)
(c) Pure Sciences and Mathematics
(d) Engineering, Agriculture, and other Applied Sciences
(e) Education
(f) Law
(g) Public Service and Civic Work
(h) Medicine and other Health Science and Services
(i) Sports)
(j) Business and Economics
(k) Journalism and Mass Communications
Others
Type category here (others)
Nominating Local Organization
Nominating JCI Local Chapter
Name of the Chapter President
Email Address of Chapter President
Contact Number of Chapter President
Pre-Nomination Questionnaire
1. Explain how the nominee exemplifies the principle expressed in the following line of JCI Values: “That service to humanity is the best work of life.”
2. Has a complaint ever been filed against the nominee? Or has the nominee been involved or convicted of any crime/s or any other unlawful activities? If YES, kindly provide details.
3. Has the nominee been involved in any news or scandal that can be derogatory to his character? If YES, kindly provide details.
Upload the Signed Pre-Nomination Form Here: (PDF - 5MB limit)
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By submitting this pre-nomination form, I hereby certify that the above information is true and correct.
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