The Lemberg Medal Nomination Form for 2027

By submitting this form you agree that as the below mentioned person you are nominating the person detailed for the Lemberg Medal. Please ensure you have saved your nomination document as a single PDF file (no larger than 5MB) ready for uploading as part of this nomination form. The template for this document can be found here.

Your Details

Title

First Name

Last Name

Institution/Organisation

Email Address

Verify Email Address

Mobile Phone

All nominations should be supported by a second proposer. Please provide their details below.

Proposer 2 Name

Proposer 2 Email

Proposer 2 Address

Nominee Details

Nominee Name (Awards)

Nominee Address (Awards)

Nominee Email (Awards)

Nomination Document

Please ensure this document is a single PDF and is no larger than 5MB. Failure to upload this document will result in the nomination being void. Please use the naming of structure of the file: Year_Surname_Name of Award.

Then Lemberg Medal Nomination Document 2027

You need to enable JavaScript to access this site.

Follow these instructions on how to enable JavaScript.

Internet Explorer

Select Tools from the top menu
Choose Internet Options
Click on the Security tab
Click on Custom Level
Scroll down until you see the section labelled Scripting
Under Active Scripting, select Enable and click OK

Google Chrome

Select the menu icon on the browser toolbar
Select Settings
Click the Show advanced settings... link then Content Settings in the Privacy section
Select Allow all sites to run JavaScript (recommended) and click Done

Safari (Mac)

Select Safari from the top menu
Choose Preferences
Choose Security
Select the checkbox next to Enable JavaScript

The Lemberg Medal Nomination Form for 2027

The Lemberg Medal Nomination

Your Details

Nominee Details

Nomination Document

Thank You