Please complete and return with your award submission no later than Friday 19 February 2016 to:
Institution of Civil Engineers, East Midlands Regional Office, The Sir Colin Campbell Building,
University of Nottingham Innovation Park, Triumph Road, Nottingham, NG7 2TU.
Project, study, research paper or team achievement title:
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Contact name:
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Contact address:
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Contact telephone: Click here to enter text.
Contact e-mail : Click here to enter text.
Type of scheme (e.g. flood alleviation, commercial development):
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Please list all key project partners and their role in the project (e.g. client, contractor, designer).
If submitting an entry into the Team Achievement category, please include and name the Lead Partner:
NB: Please supply logos of all named partners in jpeg format
Commissioning authority (where appropriate): Click here to enter text.
Principal designer (where appropriate): Click here to enter text.
Principal contractor (where appropriate): Click here to enter text.
Lead Partner (where appropriate): Click here to enter text.
All other associated contractors/designers/parties & their role (where appropriate): Click here to enter text.
I confirm our intention to submit an entry in the following category (please tick one box):
NB: only one category to be selected per submission
Small projects category (up to £750,000)
Medium projects category (£750,000-£10million)
Large projects category (greater than £10million)
Studies & Research category
Team Achievement category
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Entry and administration fee paid ☐
Please indicate here if you intend to reserve a table of 10 for your organisation at the ICE East
Midlands Annual Gala Dinner and Awards. A discount will apply on the first table booked by you as an award entrant.
Yes ☐ No ☐
Approval from all parties obtained:
Signature: