Please Submit Your Nominations For Each Category Below
African NOC of the Year
(>50% State-owned)
Criteria:
- Overall leadership as an industry benchmark of excellence
- Financial performance against peer group
- Operational performance of asset / services portfolio
- Recent market transactions and deals (value creation, value realisation, total shareholder return)
- Recent exploration successes (value creation)
- Strength of industry partnerships (creation of new partnerships, leveraging existing partnerships)
- Strength of market reputation, corporate governance, investor relations and public relations
*Please submit your email address, the name of the nominee and the reason for your nomination
<div id="et_pb_contact_form_0" class="et_pb_module et_pb_contact_form_0 et_pb_contact_form_container clearfix" data-form_unique_num="0"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et-pb-contact-message"></div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact"><!-- [et_pb_line_break_holder] --> <form class="et_pb_contact_form clearfix" method="post" action="https://go.pardot.com/l/126031/2019-03-12/6fpyt1"><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_0 et_pb_contact_field_half" data-id="email" data-type="email"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_email_1" class="et_pb_contact_form_label">Email Address</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_email_1" class="input" value="" name="et_pb_contact_email_1" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_1 et_pb_contact_field_half et_pb_contact_field_last" data-id="name_of_nominee" data-type="input"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_name_of_nominee_1" class="et_pb_contact_form_label">Name of Nominee</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_name_of_nominee_1" class="input" value="" name="et_pb_contact_name_of_nominee_1" data-required_mark="required" data-field_type="input" data-original_id="name_of_nominee" placeholder="Name of Nominee"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_with_border et_pb_contact_field et_pb_contact_field_2 et_pb_contact_field_last" data-id="reason_for_nomination" data-type="text"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_reason_for_nomination_1" class="et_pb_contact_form_label">Reason for Nomination</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_reason_for_nomination_1" id="et_pb_contact_reason_for_nomination_1" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="reason_for_nomination" placeholder="Reason for Nomination" style="border:1px solid #CCCCCB"></textarea><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_0"><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="et_pb_contactform_validate_0" class="et_pb_contactform_validate_field"><!-- [et_pb_line_break_holder] --> <div class="et_contact_bottom_container"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact_right"><!-- [et_pb_line_break_holder] --> <p class="clearfix"><!-- [et_pb_line_break_holder] --> <span class="et_pb_contact_captcha_question">13 + 12</span> = <input type="text" size="2" class="input et_pb_contact_captcha" data-first_digit="13" data-second_digit="12" value="" name="et_pb_contact_captcha_0" data-required_mark="required"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact_right --><!-- [et_pb_line_break_holder] --> <button type="submit" class="et_pb_contact_submit et_pb_button">Submit</button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted" name="_wpnonce-et-pb-contact-form-submitted" value="026f49717d"><input type="hidden" name="_wp_http_referer" value="/africa-awards-nominations/?preview_id=12730&preview_nonce=abdb9f90c1&_thumbnail_id=-1&preview=true"><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact --><!-- [et_pb_line_break_holder] --> </div>
African Project of the Year
Criteria:
- Overall leadership as an industry benchmark of excellence
- Financial performance against peer group
- Deal/operation success
*Please submit your email address, the name of the nominee and the reason for your nomination
<div id="et_pb_contact_form_1" class="et_pb_module et_pb_contact_form_1 et_pb_contact_form_container clearfix" data-form_unique_num="1"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et-pb-contact-message"></div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact"><!-- [et_pb_line_break_holder] --> <form class="et_pb_contact_form clearfix" method="post" action="https://go.pardot.com/l/126031/2019-03-12/6fpyr5"><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_3 et_pb_contact_field_half" data-id="email" data-type="email"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_email_1" class="et_pb_contact_form_label">Email Address</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_email_1" class="input" value="" name="et_pb_contact_email_1" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_4 et_pb_contact_field_half et_pb_contact_field_last" data-id="name_of_nominee_project" data-type="input"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_name_of_nominee_project_1" class="et_pb_contact_form_label">Name of Nominee</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_name_of_nominee_project_1" class="input" value="" name="et_pb_contact_name_of_nominee_project_1" data-required_mark="required" data-field_type="input" data-original_id="name_of_nominee_project" placeholder="Name of Nominee"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_with_border et_pb_contact_field et_pb_contact_field_5 et_pb_contact_field_last" data-id="reason_for_nomination_project" data-type="text"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_reason_for_nomination_project_1" class="et_pb_contact_form_label">Reason for Nomination</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_reason_for_nomination_project_1" id="et_pb_contact_reason_for_nomination_project_1" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="reason_for_nomination_project" placeholder="Reason for Nomination" style="border:1px solid #CCCCCB"></textarea><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_1"><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="et_pb_contactform_validate_1" class="et_pb_contactform_validate_field"><!-- [et_pb_line_break_holder] --> <div class="et_contact_bottom_container"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact_right"><!-- [et_pb_line_break_holder] --> <p class="clearfix"><!-- [et_pb_line_break_holder] --> <span class="et_pb_contact_captcha_question">13 + 3</span> = <input type="text" size="2" class="input et_pb_contact_captcha" data-first_digit="13" data-second_digit="3" value="" name="et_pb_contact_captcha_1" data-required_mark="required"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact_right --><!-- [et_pb_line_break_holder] --> <button type="submit" class="et_pb_contact_submit et_pb_button">Submit</button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted" name="_wpnonce-et-pb-contact-form-submitted" value="026f49717d"><input type="hidden" name="_wp_http_referer" value="/africa-awards-nominations/?preview_id=12730&preview_nonce=abdb9f90c1&_thumbnail_id=-1&preview=true"><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact --><!-- [et_pb_line_break_holder] --> </div>
African Deal of the Year
Criteria:
- Deal value (value creation, value realisation)
- Game/Industry changing implications
- Post-deal performance
*Please submit your email address, the name of the nominee and the reason for your nomination
<div id="et_pb_contact_form_2" class="et_pb_module et_pb_contact_form_2 et_pb_contact_form_container clearfix" data-form_unique_num="2"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et-pb-contact-message"></div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact"><!-- [et_pb_line_break_holder] --> <form class="et_pb_contact_form clearfix" method="post" action="https://go.pardot.com/l/126031/2019-03-12/6fpyqc"><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_6 et_pb_contact_field_half" data-id="email" data-type="email"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_email_2" class="et_pb_contact_form_label">Email Address</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_email_2" class="input" value="" name="et_pb_contact_email_2" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_7 et_pb_contact_field_half et_pb_contact_field_last" data-id="name_of_nominee" data-type="input"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_name_of_nominee_2" class="et_pb_contact_form_label">Name of Nominee</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_name_of_nominee_2" class="input" value="" name="et_pb_contact_name_of_nominee_2" data-required_mark="required" data-field_type="input" data-original_id="name_of_nominee" placeholder="Name of Nominee"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_with_border et_pb_contact_field et_pb_contact_field_8 et_pb_contact_field_last" data-id="reason_for_nomination" data-type="text"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_reason_for_nomination_2" class="et_pb_contact_form_label">Reason for Nomination</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_reason_for_nomination_2" id="et_pb_contact_reason_for_nomination_2" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="reason_for_nomination" placeholder="Reason for Nomination" style="border:1px solid #CCCCCB"></textarea><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_2"><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="et_pb_contactform_validate_2" class="et_pb_contactform_validate_field"><!-- [et_pb_line_break_holder] --> <div class="et_contact_bottom_container"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact_right"><!-- [et_pb_line_break_holder] --> <p class="clearfix"><!-- [et_pb_line_break_holder] --> <span class="et_pb_contact_captcha_question">3 + 5</span> = <input type="text" size="2" class="input et_pb_contact_captcha" data-first_digit="3" data-second_digit="5" value="" name="et_pb_contact_captcha_2" data-required_mark="required"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact_right --><!-- [et_pb_line_break_holder] --> <button type="submit" class="et_pb_contact_submit et_pb_button">Submit</button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted" name="_wpnonce-et-pb-contact-form-submitted" value="026f49717d"><input type="hidden" name="_wp_http_referer" value="/africa-awards-nominations/?preview_id=12730&preview_nonce=2939baf254&_thumbnail_id=-1&preview=true"><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact --><!-- [et_pb_line_break_holder] --> </div>
African Breakthrough of the Year
Criteria:
- Recent project development/innovation/discovery that has had a considerable impact on the region’s industry
- Shows thought leadership, with demonstrated innovative thinking
*Please submit your email address, the name of the nominee and the reason for your nomination
<div id="et_pb_contact_form_3" class="et_pb_module et_pb_contact_form_3 et_pb_contact_form_container clearfix" data-form_unique_num="3"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et-pb-contact-message"></div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact"><!-- [et_pb_line_break_holder] --> <form class="et_pb_contact_form clearfix" method="post" action="https://go.pardot.com/l/126031/2019-03-12/6fpyq9"><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_9 et_pb_contact_field_half" data-id="email" data-type="input"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_email_3" class="et_pb_contact_form_label">Email Address</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_email_3" class="input" value="" name="et_pb_contact_email_3" data-required_mark="required" data-field_type="input" data-original_id="email" placeholder="Email Address"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_10 et_pb_contact_field_half et_pb_contact_field_last" data-id="name_of_nominee" data-type="input"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_name_of_nominee_3" class="et_pb_contact_form_label">Name of Nominee</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_name_of_nominee_3" class="input" value="" name="et_pb_contact_name_of_nominee_3" data-required_mark="required" data-field_type="input" data-original_id="name_of_nominee" placeholder="Name of Nominee"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_with_border et_pb_contact_field et_pb_contact_field_11 et_pb_contact_field_last" data-id="reason_for_nomination" data-type="text"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_reason_for_nomination_3" class="et_pb_contact_form_label">Reason for Nomination</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_reason_for_nomination_3" id="et_pb_contact_reason_for_nomination_3" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="reason_for_nomination" placeholder="Reason for Nomination" style="border:1px solid #CCCCCB"></textarea><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_3"><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="et_pb_contactform_validate_3" class="et_pb_contactform_validate_field"><!-- [et_pb_line_break_holder] --> <div class="et_contact_bottom_container"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact_right"><!-- [et_pb_line_break_holder] --> <p class="clearfix"><!-- [et_pb_line_break_holder] --> <span class="et_pb_contact_captcha_question">13 + 10</span> = <input type="text" size="2" class="input et_pb_contact_captcha" data-first_digit="13" data-second_digit="10" value="" name="et_pb_contact_captcha_3" data-required_mark="required"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact_right --><!-- [et_pb_line_break_holder] --> <button type="submit" class="et_pb_contact_submit et_pb_button">Submit</button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted" name="_wpnonce-et-pb-contact-form-submitted" value="321253b6b2"><input type="hidden" name="_wp_http_referer" value="/africa-awards-nominations/?preview_id=12730&preview_nonce=2939baf254&_thumbnail_id=-1&preview=true"><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact --><!-- [et_pb_line_break_holder] --> </div>
Executive of The Year
Criteria:
- Company performance (growth, change management, turnaround success)
- Market reputation
- Industry innovation
- Deal/operation success
- Company or industry changing event workforce
*Please submit your email address, the name of the nominee and the reason for your nomination
<div id="et_pb_contact_form_4" class="et_pb_module et_pb_contact_form_4 et_pb_contact_form_container clearfix" data-form_unique_num="4"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et-pb-contact-message"></div><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact"><!-- [et_pb_line_break_holder] --> <form class="et_pb_contact_form clearfix" method="post" action="https://go.pardot.com/l/126031/2019-03-12/6fpypy"><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_12 et_pb_contact_field_half" data-id="email" data-type="email"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_email_4" class="et_pb_contact_form_label">Email Address</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_email_4" class="input" value="" name="et_pb_contact_email_4" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_contact_field et_pb_contact_field_13 et_pb_contact_field_half et_pb_contact_field_last" data-id="name_of_nominee" data-type="input"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_name_of_nominee_4" class="et_pb_contact_form_label">Name of Nominee</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_name_of_nominee_4" class="input" value="" name="et_pb_contact_name_of_nominee_4" data-required_mark="required" data-field_type="input" data-original_id="name_of_nominee" placeholder="Name of Nominee"><!-- [et_pb_line_break_holder] --> </p><p class="et_pb_with_border et_pb_contact_field et_pb_contact_field_14 et_pb_contact_field_last" data-id="reason_for_nomination" data-type="text"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_reason_for_nomination_4" class="et_pb_contact_form_label">Reason for Nomination</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_reason_for_nomination_4" id="et_pb_contact_reason_for_nomination_4" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="reason_for_nomination" placeholder="Reason for Nomination" style="border:1px solid #CCCCCB"></textarea><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_4"><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="et_pb_contactform_validate_4" class="et_pb_contactform_validate_field"><!-- [et_pb_line_break_holder] --> <div class="et_contact_bottom_container"><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact_right"><!-- [et_pb_line_break_holder] --> <p class="clearfix"><!-- [et_pb_line_break_holder] --> <span class="et_pb_contact_captcha_question">7 + 8</span> = <input type="text" size="2" class="input et_pb_contact_captcha" data-first_digit="7" data-second_digit="8" value="" name="et_pb_contact_captcha_4" data-required_mark="required"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact_right --><!-- [et_pb_line_break_holder] --> <button type="submit" class="et_pb_contact_submit et_pb_button">Submit</button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted" name="_wpnonce-et-pb-contact-form-submitted" value="321253b6b2"><input type="hidden" name="_wp_http_referer" value="/africa-awards-nominations/?preview=true"><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact --><!-- [et_pb_line_break_holder] --> </div>
Exploration Company of the Year
Criteria:
- Overall leadership as an industry benchmark of excellence
- Financial performance against peer group
- Operational performance of asset / services portfolio
- Recent exploration successes (value creation)
- Recent market transactions and deals (value creation, value realisation, total shareholder return)
- Strength of industry partnerships (creation of new partnerships, leveraging existing partnerships)
- Strength of market reputation, corporate governance, investor relations and public relations
*Please submit your email address, the name of the nominee and the reason for your nomination
<div id="et_pb_contact_form_5" class="et_pb_module et_pb_contact_form_5 et_pb_contact_form_container clearfix" data-form_unique_num="5"><!-- [et_pb_line_break_holder] --> <div class="et-pb-contact-message"></div> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact"><!-- [et_pb_line_break_holder] --> <form class="et_pb_contact_form clearfix" method="post" action="https://go.pardot.com/l/126031/2019-03-12/6fpypw"><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_15 et_pb_contact_field_half" data-id="email" data-type="email"><!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_email_5" class="et_pb_contact_form_label">Email Address</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_email_5" class="input" value="" name="et_pb_contact_email_5" data-required_mark="required" data-field_type="email" data-original_id="email" placeholder="Email Address"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <p class="et_pb_contact_field et_pb_contact_field_16 et_pb_contact_field_half et_pb_contact_field_last" data-id="name_of_nominee" data-type="input"> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_name_of_nominee_5" class="et_pb_contact_form_label">Name of Nominee</label><!-- [et_pb_line_break_holder] --> <input type="text" id="et_pb_contact_name_of_nominee_5" class="input" value="" name="et_pb_contact_name_of_nominee_5" data-required_mark="required" data-field_type="input" data-original_id="name_of_nominee" placeholder="Name of Nominee"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <p class="et_pb_with_border et_pb_contact_field et_pb_contact_field_14 et_pb_contact_field_last" data-id="reason_for_nomination" data-type="text"> <!-- [et_pb_line_break_holder] --> <label for="et_pb_contact_reason_for_nomination_5" class="et_pb_contact_form_label">Reason for Nomination</label><!-- [et_pb_line_break_holder] --> <textarea name="et_pb_contact_reason_for_nomination_5" id="et_pb_contact_reason_for_nomination_5" class="et_pb_contact_message input" data-required_mark="required" data-field_type="text" data-original_id="reason_for_nomination" placeholder="Reason for Nomination" style="border:1px solid #CCCCCB"></textarea><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> <input type="hidden" value="et_contact_proccess" name="et_pb_contactform_submit_5"><!-- [et_pb_line_break_holder] --> <input type="text" value="" name="et_pb_contactform_validate_5" class="et_pb_contactform_validate_field"><!-- [et_pb_line_break_holder] --> <div class="et_contact_bottom_container"> <!-- [et_pb_line_break_holder] --> <div class="et_pb_contact_right"><!-- [et_pb_line_break_holder] --> <p class="clearfix"><!-- [et_pb_line_break_holder] --> <span class="et_pb_contact_captcha_question">4 + 13</span> = <input type="text" size="2" class="input et_pb_contact_captcha" data-first_digit="4" data-second_digit="13" value="" name="et_pb_contact_captcha_5" data-required_mark="required"><!-- [et_pb_line_break_holder] --> </p><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact_right --><!-- [et_pb_line_break_holder] --> <button type="submit" class="et_pb_contact_submit et_pb_button">Submit</button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <input type="hidden" id="_wpnonce-et-pb-contact-form-submitted" name="_wpnonce-et-pb-contact-form-submitted" value="da47b67ecb"><input type="hidden" name="_wp_http_referer" value="/africa-awards-nominations/"><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --> </div> <!-- .et_pb_contact --><!-- [et_pb_line_break_holder] --></div>