Examination Ethics and Honesty Award
For Students Only
Name of Nominator
*
First Name
Last Name
Email
admin@gmail.com
Application Date
*
-
Month
-
Day
Year
Date Picker Icon
Phone
*
-
Area Code
Phone Number
Nominee's Name
*
First Name
Last Name
Nominee's Phone Number
*
-
Area Code
Phone Number
Nominee's Department
*
Matriculation Number
*
For how Long have you Noticed This
One Year
Two Years
Three Years
Other
Consistency in Difficult Situation
Yes
No
Mostly
Rearly
Reason for Nomination (with confirm-able evidence).
*
0/150
Referee 1
*
Referee's Name, Department, Phone Number
Referee 2
*
Referee's Name, Department, Phone Number
Referee 3
Referee's Name, Department, Phone Number
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