|
Title
of Good Practice Example
|
| Leading
Author Details |
Contact
Details (if different) |
Name
|
Name
|
Address
|
Address
|
Phone
Number
|
Phone
Number
|
FAX
Number
|
FAX
Number
|
E-mail
Address
|
E-mail
Address
|
Other
Author Name
|
Category
(up to 4 relevant categories may
be selected)
1.
|
| 2.
|
| 3.
|
| 4.
|
|
Lead
Organisation
|
if other, please state
|
Partner
Organisations
|
|
Area
|
|
Chief
Executive's Approval Received
tick for yes
Submission cannot be considered
without this approval |
Summary
Description (do not exceed 250 words)
|
Fuller
Details of Submission
|