Downloadable / Printable Nomination Form

If you wish to download a copy of the Northern Inland Innovation Awards 2011 nomination form which you can print out then return via post or fax, then please select the link below to download and save a copy of the Northern Inland Innovation Awards 2011 nomination form to your computer in PDF format which you can then print.


Online Nomination Form




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* Please enter a summary of the nominee's product or service being nominated


* Please enter a summary of why the nominee's product or service is innovative


* Please enter a short history of the nominee's business


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Conditions of Entry

  • The application form and entry must be lodged by the 21st September 2011 and all entries to be completed to the satisfaction of the Judging Panel.
  • Judging of the finalist will be completed by the panel appointed by Regional Development Australia - Northern Inland. The decision of the Judging Panel will be final and no correspondence will be entered into.
  • The Judging Panel reserves the right not to award a prize in every category.
  • The Committee intends to use the information provided for publicity purposes. In nominating for these awards, entrants agree to make themselves available for publicity purposes (within reason). Sensitive commercial information will be treated as confidential.
  • More than one individual from an organisation or business can be nominated if they have been working on different projects.
  • Regional Development Australia - Northern Inland is collecting the information contained in the Application Form in order to assess your nomination for the Northern Inland Innovation Awards. If you have not provided the requested details, the Judging Panel may not be able to process your nomination.
  • The Judging Panel reserves the right to request further information from nominees in support of their entry.
  • Representatives from the Northern Inland Innovation Awards may visit the finalists in their workplace to observe where the work submitted for the Awards is carried out, view products if relevant and further discuss entry information with the applicant if required.
  • For collaborative projects, the lead or chief investigators may nominate as a group if they have all contributed equally to the project. Where the nominee is the lead or principal investigator of a collaborative project, the nominee must have the approval of his or her collaborative team to nominate and the collaborative team must be acknowledged in the submission.
  • The provision of false or misleading information will result in the disqualification of the entry.
  • The nominee finalist or someone to represent them must attend the awards event.