Distinguished Alumni Awards Form

Nomination for the Distinguished Alumni Awards

All registered members of DR. BAMU Alumni Association – KENYA are eligible to submit this nomination form.

Nominator Information (YOUR information):

Surname*

Surname

First Name*

First

BAMU/KE Registration number*

Email*

I hereby submit the following nomination:

Candidate's Surname

Last

Candidate's First Name

First

BAMU/KE Registration number

Award