Home AFROSHINE AWARDS Nomination Form


by  Africa Media Australia

Use the form below to nominate people for the annual AFROSHINE AWARDS. You can nominate anyone who deserves recognition for positive achievements in their personal life that may inspire others or for their excellent work in the community. Once your nomination is submitted, you will receive an email from AMA within 10 days confirming your nomination. Self nomination is also accepted, subject to a very stringent assessment process . Ensure you contact us at info@africamediaaustralia.com if you do not receive an acknowledgment email within 10 days. 

    Your Name (required)

    Your Email (required)

    Your Organization (if applicable)

    Nominee's Name(required)

    Nominee's Information
    Phone number, email address etc (required)

    Reason for Nomination Work Accomplished/Profile etc (required)

    Award Categories(required)

    Comments/Additional information
    (describe the reasons behind your nomination-300 words max)