2026
Nomination Form
First Name:
Surname:
Contact Number:
Email Address:
Gender:
Select Gender
Male
Female
Age:
Select Age Group
25 - 29
30 - 39
40 - 49
50 - 59
60+
Company:
Category:
Outstanding Operator / Trade / Technician
Outstanding Support Services
Mentorship Excellence
Excellence in Technology & Innovation
Excellence in Health, Safety & Environment
Rising Star in Mining
Gender, Diversity and Inclusion Champion
Exceptional Woman in Mining
Mining Enterprise & Entrepreneurship
African Woman in Mining Impact
Years Of Professional Experience:
Attach CV:
Attach Picture:
Nominee Story (800 words max):
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words remaining
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