Innovation and Technology Award
Nomination Form
IMPORTANT: Carefully read the ‘Innovation and Technology Award Criteria and Instructions’ before completing this form.
1.Nominee
Organisation:Click here to enter text.
2.Details of person to contact if further information is required (this person will also be contacted regarding the outcome of the nomination)
Name:Click here to enter text.
Position:Click here to enter text.
Organisation:Click here to enter text.
City/Town:Click here to enter text.
State/Territory:Click here to enter text.
Email:Click here to enter text.
Telephone:Click here to enter text.
3.Brief description of the innovation/technology developed by the organisation
Click here to enter text.
4.Has the innovation/technology been tested and proven to be safe and effective? Give an example of these results
Click here to enter text.
5.How has this innovation/technology contributed to improved business practice or the betterment of the industry as a whole? Please provide figures if possible and appropriate
Click here to enter text.
6.Give examples of how the organisation/industry is using, or plans to use, the new innovation/technology in every day practice
Click here to enter text.
7.In 200 words or less, why should your organisation receive the Innovation and Technology Award?
Click here to enter text.
SUBMITTING NOMINATION - Nominations close Friday 21 April 2017
☐Nomination (saved with the category title and nomination company/individual)
☐Supporting material (saved with attachment number, category title and nominating company/individual
Email your nomination to
For assistance contact Janet Cameron, or 02 6270 4527.
PERMISSION TO SHARE KEY POINTS OF NOMINATION
In the interests of the sharing of corporate knowledge, I give permission for the key points of my nomination to be shared with the wider rail industry.
☐ Yes☐ No
If yes, please provide below an overview of your nomination (up to one A4 page) and contact details for further information, for inclusion in the Rail Knowledge Bank and the Awards website.
Click here to enter text.
Contact details for further information:
Name:Click here to enter text.
Position:Click here to enter text.
Organisation:Click here to enter text.
Email:Click here to enter text.
Telephone:Click here to enter text.