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ESSENTIAL CRITERIA FOR ACCEPTANCE

  1. The AMAHOF President must receive all submissions by the designated closing date of   December 31st.
  2. Nominations not selected will result in the full refund of the nomination fee.
  3. Nominations withdrawn following the designated closing date will result in the forfeiture of the nomination fee.
  4. All inductees (other than posthumous awards) MUST ATTEND the awards presentation event in the year of their induction. (Special concessions may be provided upon written application).The location of the Awards presentation will be listed on the AMAHOF website: www.amahof.asn.au

NB: Where an inductee is unable to attend the awards event, then their award will be kept in safe keeping until the next awards event only. AMAHOF WILL NOT send awards through the post or place them in the care of others for transportation.

CHECK LIST OF REQUIREMENTS

The following items must be included with your submission and received by 31st December – an electronic copy (email document) must also be sent to: ramon@budokan.com.au











*** PLEASE NOTE ***
Please complete each section of this nomination document & include all necessary items before making your submission.
Return Address to: AMAHOF PRESIDENT
Lot 55 N icholson Road, Canning Vale, WA 6155 Australia
Incomplete nominations will not be considered.

DETAILS OF PERSON BEING NOMINATED

 

Full Name (*)  
Address (*) 
Suburb (*) 
Country (*) 
Postal Code (*) 
E-mail (*) 
Website 
Telephone Home (*) 
Mobile Phone 
Work 
Personal Contact 
Club Contact Number 
Fax Number (*)

 

Acceptance of Nomination

I , as the nominee duly accept this nomination to be considered for induction into the AMAHOF during the year of .

I further provide consent for the AMAHOF executive committee to conduct all necessary integrity checks as is deemed appropriate and agree to abide by the final decision of the committee in relation to this application.

I also declare that at the time of making this submission that the details contained in the history/ resume, grading record and matters pertaining to any criminal record or any other legal matters are true and correct to the best of my knowledge and belief, and if it can be shown that any such information is false or misleading then I may be disqualified.

Name
 

 

You MUST tick the box as confirmation of your attendance if selected.
 

DETAILS OF THE PERSON MAKING THIS NOMINATION

 

Name (*)  
Address (*) 
Suburb (*) 
Country (*) 
City (*) 
Postal Code (*) 
Telephone Home 
Mobile 
Work 
Personal Contact 
Club Contact Number 
Fax 
E-Mail 
Website 
Time that I have Known the Nominee 
My Martial Arts & Senior Held Ranks 
Reference
The Person who being nominated 
In brief - state relationship to and give a history of this person including a character testimony.