BSC FAMA VIVIT AWARD PROGRAM

Name of person nominated: ____________________________
Address: ___________________________________________
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Class: _____________________________________________

Comments: An overview of the activities of the person nominated and your reason for nominating.
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                         ___________________________________________
                         Signature (including maiden name & class) of
                         the Spencerian completing this form

Mail to – The BSC Awards Committee, P.O. Box 21103, St. John's, NL    A1A 5B2


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