ESEM 2026 Nomination Form | ESEM26

Award Nomination Form

Nomination Form (To be filled by Nominator)

Full name of Individual you wish to nominate*

Organization of the nominee*

Email address of the Nominee*

Category of Award*

Nominator Details

First Name*

Last Name*

Email Address*

Please upload support letter highlighting the nominee’s contribution towards EM Community and Emirates Society of Emergency Medicine.*

Any other document to Support Nominee