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Nomination form for SHA cultural award

S W E L L E N D A M   H E R I T A G E   A S S O C I A T I O N

S W E L L E N D A M   E R F E N I S V E R E N I G I N G

NOMINATION FOR SWELLENDAM HERITAGE ASSOCIATION CULTURAL AWARD

Nominasie VIR SWELLENDAM ERFENISVERENIGING kulturele  TOEKENNING

PERSON/PERSONS NOMINATED :

Please provide the name and address of the person/persons to whom the award should be presented with contact details

Verskaf asseblief die naam en adres van die persoon / persone aan wie die toekenning gegee moet word, met kontakbesonderhede

MOTIVATION/ MOTIVERING

Describe the Contribution to the social and cultural life of the Greater Swellendam of the nominee/ nominees

Beskryf die bydrae tot die sosiale en kulturele lewe van die Groter Swellendam van die genomineerdes / genomineerdes

Nominated by  Swellendam Heritage Association COMMITTEE MEMBER / Voorgestel deur: