Nomination Form Premju Soċjetà Ġusta 2025

Category of Nomination

Nominee Details (Individual / Voluntary Organisation)

Identity Card Number of Individual Nominee / VO Number of VO Nominee

Address of Nominee

Date of Birth of Individual Nominee / Date of Establishment of Organisation

Contact Number

Email Address

Details on Persons Nominating (Not next of Kin):

Name and Surname of First Person Nominating

Identity Card Number

Email Address

Contact Number

Details on Persons Nominating (Not next of Kin):

Name and Surname of Second Person Nominating

Identity Card Number

Email Address

Contact Number

Nominee’s Work and Impact in the Disability Sector

Describe the nominee’s work in the field of disability. (Maximum 500 words)

What challenges or barriers has the nominee addressed, and how? (Maximum 250 words)

What makes the nominee’s work innovative or exemplary in their field? (Maximum 250 words)

I confirm that the information provided is accurate to the best of my knowledge

I have obtained the nominee’s permission to submit this nomination

I agree to the terms and conditions of the nomination process