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Nomination Form and Guide to making Nominations

Printed copies of the nomination form and guide are available from Members of Parliament or:

The Honours Secretariat
Cabinet Office
Parliament Buildings
Wellington
or by telephone (04) 817-9840.

The electronic nomination form is available in Adobe Acrobat PDF (33 kB) and Microsoft Word (76 kB)

Bravery Awards

A separate nomination form and guide for bravery awards are available from the Honours Unit.

Online Nomination Form

Section 1 – Information about the nominator – person making the nomination.
Personal details
Contact details
Section 2 – Information about the nominee - person you are nominating for a New Zealand Honour.
Personal details
Contact details
Section 3 – The nomination details. Please complete all of the sections below.
Please set out the main positions or offices held by the nominee, and the period of service. For each position list the following: Organisation, Position, From date, To date/current, Paid/voluntary.
Letters of Support
Please obtain two or more letters that endorse the nominee’s contribution from people who are familiar with his or her service and achievements. The letters of support add depth to the nomination. Please attach the letters of support to this form and list the names of the support persons below.
Letter of support 1
Letter of support 2
Letter of support 3
Letter of support 4
Letter of support 5
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Letter of support 49
Letter of support 50
Section 4 – Checklist and Sending Application
By submitting this form, I (enter full name), sign this document on
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