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Nomination for: Sir Roger Bannister Award 2008 |
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Please state name, job title, employing institution, mailing address, alongside email and daytime telephone number contact details. |
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Please state name, job title and employing institution, alongside email and daytime telephone number contact details. |
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Please state name, job title and employing institution, alongside email and daytime telephone number contact details. |
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Please outline in a maximum of 250 words how the nominee is recognised as having made an outstanding contribution in the field of Sport & Exercise Medicine. Please complete appropriate section on the next page. |
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In the event of the nomination being successful in winning the award, he/she must be able to attend the BASEM Congress, Brighton 2008.
Yes / No
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