"*" indicates required fields Nominator/Referee DetailsTitle*MrMrsMissMsDrA/ProfProfFirst Name*Last Name*Position Title*Institution/Organisation/Business*Phone Number*Email Address* Relationship to Nominee*Nominee DetailsTitle*MrMrsMissMsDrA/ProfProfFirst Name*Last Name*Position Title*Relevant Qualifications*Institution/Organisation/Business*Phone Number*Email Address* Supporting StatementPlease outline why the Nominee is a suitable candidate for the John Forbes Gold Medal Award?*(Maximum 500 words)File UploadsSupporting Documentation Drop files here or Select files Max. file size: 50 MB. Optional letters of support, relevant publications, or evidence of leadership and impact.