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European Journal of Endocrinology Award Nomination Form

Please complete the fields below
Nominations for the award are invited from individuals or any scientific organisation or administrative group
Please enter the name of the person you are nominating
The candidate must also be less than 45 years of age on 1 January (of the congress year), however this age limit can be extended by one year for each child for whom the candidate has served as the primary caregiver; other career breaks, e.g. due to other family commitments or ill health, will also be taken into account - please tick career break extension box below if applicable
Career break extension
To include the merits of the nominee and the reasoning for the nomination (no longer than two pages
To include a list of the most relevant research/publications of the nominee (up to 10 publications within the last 10 years
Is the nominee a member of ESE? * To be eligible for this award the nominee must be a member of ESE
Self-nominations only
Self-nominations only

The data that you submit via this form will be used in order to record and process the award nomination including providing details to the relevant ESE jury for deliberation.
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