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WSTRA Cancer Registrar of the Year

Please provide the following details about the person you are nominating. Please ensure that all sections of this form are completed or we will be unable to consider your nominee.

Cancer Registrar of the Year

Nomination submitted by

Submitter's Name
Submitter's Name

About the Nominee

Nominee
Nominee
The information contained in this nomination is strictly confidential and will not be communicated to any person other than those involved in the administration of the nomination system.