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Your details...

(As the nominator)

Your first name

Your surname

Your email address

Your mobile phone number (eg. +27821231234 or 0610009999)

The province your school or organisation is in

The name of your school or organisation

Your role at the school or organisation

Details of Teacher

Teacher first name

Teacher surname

Teacher email address

Teacher mobile phone number (eg. +27821231234 or 0610009999)

Name of the school the teacher is at

Name of the Education District the school is in

Province the school is in

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