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Diamond Jubilee Medal Nomination Form.pdf

Diamond Jubilee Medal Nomination Form.pdf

Diamond Jubilee Medal Nomination Form.pdf

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4. Describe the nominee’s achievements in supporting the well-being of people living with and affected byHIV/AIDS in Canada.5. Describe the nominee’s achievements in supporting or reflecting the GIPA (Greater Involvement ofPeople Living with HIV/AIDS) principle either personally or professionally.6. Describe the nominee’s achievements in policy and /or governance (for example: membership ongovernance committees, participation/advocacy re: policy development, etc.).Signature: __________________________________________________________ Date: ____________________Phone number:E-mail:2

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