AWARDS IN CONFIDENCE
THE ORDER OF SAINT LUCIA
SUBMISSION FOR RECOGNITION BY THE ORDER OF SERVICES RENDERED TO SAINT LUCIA
This submission, complete with all the information requested, must be forwarded in a sealed envelope to
The Secretary, National Awards Committee, c/o Office of the Prime Minister, Greaham Louisy Administrative Building, The Waterfront, Castries)
On no account must the nominee be informed that this submission is being made.
1. Surname (Capital Letters) (Mr., Mrs., Miss, Dr.)….…………………………….……......
2. Forename(s) (Capital Letters) ………………………………………………………………………………...
3. Date of Birth …………………………………………………………………………………………………...
4. Nationality ……………………………………………………………………………………………………..
5A. Address ……………………………………………………………………………………………………….
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5B. Phone numbers ………………………………………………………………………………………………
6. Award recommended (Tick one)
Saint Lucia Cross / ( ) / Saint Lucia Medal of Merit / Gold Silver( ) ( )
Saint Lucia Medal of Honour / Gold Silver
( ) ( ) / Saint Lucia Les Pitons Medal / Gold Silver Bronze
( ) ( ) ( )
See description of Medals on the back page
7. Has the service of the nominee been previously recognized by this or any other Society of Honour or Order?
If yes, state the Order/Society of Honour, the Award(s), and the year of the Award(s)
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8. Name, Address and Telephone Number of Initiating Organisation/Individual
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STATEMENT OF SERVICES RENDERED
In compiling this statement give full details of the services of national interestperformed by the nominee and, in your opinion, the quality of that performance. State the facts concisely and clearly. Indicate whether the service(s) was/were performed in or outside of Saint Lucia, and whether the nominee has ever been rewarded or recognized for any of them. If applicable, give the names and addresses of any beneficiaries.
Note: You must justify the nomination with a Statement of Service Rendered.
A CURRICULUM VITAE IS NOT SUFFICIENT. THEREFORE, NOMINATIONS SUBMITTED WITHOUT THE STATEMENT OF SERVICES RENDERED WILL NOT BE CONSIDERED.
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9A. Recommendation (see Class of Award overleaf):
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9B. Justification for recommendation (Use additional sheets, if necessary)
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DateSignature of Person making submission and where appropriate, office held in the Organisation
AWARDS / CLASS / DESCRIPTIONThe Saint Lucia Cross / Gold / A person who has rendered distinguished and outstanding service of national importance to Saint Lucia
The Saint Lucia Medal of Honour / Gold / a)a person who has rendered eminent service of national importance to Saint Lucia
b)only for acts of conspicuous courage in circumstance of extreme peril
Silver / a)a person who has rendered eminent service of national importance to Saint Lucia
b)only for acts of bravery in hazardous circumstance
The Saint Lucia Medal of Merit / Gold
Silver / A person who has performed long and meritorious services in the Arts, Literature, Science or other such fields in Saint Lucia
Saint Lucia Les Piton Medal / Gold
Silver
Bronze / Persons who have performed long and meritorious services to Saint Lucia tending to promote loyal public service, national welfare, or to inculcate and strengthen community spirit.
Additional Nomination Forms are available at
Submissions are possible online at