All sections must be completed. Please ‘Not Applicable’ where appropriateAll information submitted will be sealed upon receipt, and is used only for judging purposes

Nominee’s informationName………………………….......................................……………………….……..................................% of Ownership

Title………………………………………………………………………………………………................................…….

Company Name 1……………………………………………………………………………………..............................…..

Company Name 2………………………………………………………………………………..............................………..

Date Established……………………………………………………............................……………...……..……………….

Business Address…………………………………………………………………………………...........................………..

Nationality………………………………………………………………………………………..............................……….

Home Town. ………………………………………………………………………………........................…..…………….

City…………………………………………………………………………………...............................………..…………..

Business Phone No.…………………… …….............Business E-mail………….......................................................…….

Personal Phone No. ……………………….................Personal Email Address…………………........................................

Company’s Website……………………………………………………………..........................………….…….………….

Annual Income/Turnover 2019……………………………………………………..........................................…………….

Number of Employees 2019………………………… Number of Employees 2020…......................……..……………….

No of Branches / Distribution Outlets…………………………………………………………….........................…………

Any Corporate Social Responsibility? …………………………………………………………….......................…………

If Yes, Please State…………………………….………………………………………………………........................…….

……………………………………………………………………………………………………….........................………

……………………………………………………………………………………………………….........................………

Awards and Achievement……………………………………………………………………………........................………

………………………………………………………………………………………………….............................…………

10TH GHANA ENTREPRENEUR &CORPORATE EXECUTIVE AWARDS 2020

NOMINEE`S FORM

YEARS ANNIVERSARY

PLEASE COMPLETE THE SECTIONS BELOW AND SIGN THE NOMINATION FORM.

Name……………………………………………………………………………………………………..........….................

Address…………………………………………………………………………………………………...........................…

City……………………………………………………………………………………………………..............................…

Telephone……………………………………………………………………………………………............................……

Phone………………………………………………E-mail Address…………………....…………..............................……

submit complete Nomination Form with supporting documents to:

THE AWARDS COMMITTEEGHANA ENTREPRENEUR &CORPORATE EXECUTIVE AWARDS 2020P.O.BOX MP 773MAMPROBI ACCRA

Email:

Nomination Hotline:

CLOSING DATE 10TH FEBRUARY 2020

HOW TO SUBMIT YOUR NOMINATION

• Nomination forms to be completed and signed by CEO/Managing Director/Financial Controller/Marketing or Communications Manager• Submit a professional quality high resolution electronic format (e.g.jpeg at 300dpi) colour photograph• Submit a brief biography of profile of the Entrepreneur or business owner.• In less than 650 words summarize the most important accomplishment of this nominated person in the past decade and how these may relate to any previous performance or industry norms. Conclude at the end the impact this nominee had on your organization. Summarize in a not more than 3 bulleted points why this nominee deserves recognition.:• Select on or more categories

DECLARATIONI declare that the information submitted in this Nomination Form and all supporting Documentation are true and complete.

I agree to adhere to the Rules and Regulations of the Ghana Entrepreneur & corporate executive Awards, and such guidelines, regulations and institutions of the Secretariat.

I agree to abide by the decisions of the Judges and the Secretariat and understand that such decisions are the final and binding and shall not contested in any court law.I further authorise the use and public release, in connection with The Ghana Entrepreneur & Corporate Executive Awards of my name, my company`s name and photographs of me from any source.

I agree that no compensation shall be due to me or my company for such usage.

Name:………………………………………………………………………………………………………………………..

Signature:……………………………………………………………………………………………………..……………..

Date:………………………………………………………………………………………………………………………...

Designation:…………………………………………………...…………………………………………………………….

NOMINATION`S INFORMATION

website: info@efghana.org.gh                www.efghana.org.gh    

 Tel ; 0244027572 / office line: 0302 959 574

10TH GHANA ENTREPRENEUR & CORPORATE EXECUTIVE AWARDS 2020Entrepreneurs of the Decade Awards Category

• Outstanding Business Icon of the Decade Award 2010-2020• Outstanding Entrepreneur of the Decade Award 2010-2020• Lifetime Achievement Award• Outstanding Founder/ Chairman of the Decade Award 2010-2020• Outstanding Woman Entrepreneur of the Decade Award 2010-2020• Outstanding Woman C.E.O of the Decade Award 2010-2020• Outstanding C.E.O of the Decade Award 2010-2020• Outstanding Industrialist of the Decade Award 2010-2020• Outstanding Business Leader of the Decade Award 2010-2020• Outstanding Business Executive of the Decade Award 2010-2020• Outstanding Managing Director of the Decade Award 2010-2020• Outstanding Young Entrepreneur of the Decade Award 2010-2020• Outstanding Logistics & Freight Forwarding Entrepreneur of the Decade 2010-2020• Outstanding Banking & Finance Entrepreneur of the Decade Award 2010-2020• Outstanding Pharmaceuticals Entrepreneur of the Decade Award 2010-2020 • Outstanding Oil & Gas Entrepreneur of the Decade Award 2010-2020 • Outstanding Telecommunication Entrepreneur of the Decade Award 2010-2020• Outstanding Media Broadcasting Entrepreneur of the Decade Award 2010-2020• Outstanding Advertising & Marketing Entrepreneur of the Decade Award 2010-2020• Outstanding Information Technology Entrepreneur of the Decade Award 2010-2020• Outstanding Insurance Entrepreneur of the Decade Award 2010-2020• Outstanding Automotive Entrepreneur of the Decade Award 2010-2020• Outstanding Herbal Industry Entrepreneur of the Decade Award 2010-2020• Outstanding Cosmetics & Personal Care Entrepreneur of the Decade Award 2010-2020• Outstanding Health Insurance Entrepreneur of the Decade Award 2010-2020• Outstanding Paper & Tissue Entrepreneur of the Decade Award 2010-2020• Outstanding Real Estate & Property Development Entrepreneur of the Decade Award 2010-2020• Outstanding Iron & Steel Entrepreneur of the Decade Award 2010-2020• Outstanding Electricals Entrepreneur of the Decade Award 2010-2020• Outstanding Civil Engineering & Construction Entrepreneur of the Decade Award 2010-2020• Outstanding Building/Construction Materials Entrepreneur of the Decade Award 2010-2020• Outstanding Agro-processing Entrepreneur of the Decade Award 2010-2020

Corporate Executive Awards Category

• Outstanding Public Officer of the Year 2019• Outstanding Board Chairman of the Year 2019• Outstanding Group CEO of the Year 2019• Outstanding CEO of the Year 2019• Outstanding Public Sector CEO of the Year 2019• Outstanding Managing Director of the Year 2019• Outstanding Female CEO of the Year 2019• Outstanding Female Public Sector CEO of the Year 2019• Outstanding Young CEO of the Year 2019 • Outstanding Country Manager of the Year 2019• Outstanding Banking & Finance CEO of the Year 2019• Outstanding Non-Bank Financial CEO of the Year 2019• Outstanding Insurance CEO of the Year 2019• Outstanding Telecommunication CEO of the Year 2019• Outstanding Information Technology CEO of the Year 2019• Outstanding Mining & Extraction CEO of the Year 2019• Outstanding Power & Energy CEO of the Year 2019• Outstanding Agri-business CEO of the Year 2019• Outstanding Healthcare CEO of the Year 2019• Outstanding Oil & Gas CEO of the Year 2019• Outstanding Petroleum CEO of the Year 2019