2021 Australia Day Awards

Please ensure the relevant Award Category Criteria Terms and Conditions (PDF 211.5KB) are read and understood prior to completing a nomination.

Please complete all required fields below.  PDF versions of the forms are available to download using the following links: 

Click here for a PDF copy of the Barraba Nomination form (PDF 240.8KB).

Click here for a PDF copy of the Manilla Nomination form (PDF 234.5KB).

Click here for a PDF copy of the Nundle Nomination form (PDF 238.8KB).

Nominee's Details
Is the nominee under the age of 18 years?* - required
Category

Please click here to view the award category criteria.

Is the nominee aware of the nomination?* - required

It is an essential requirement of this nomination that the nominator provides a supportive statement on why the nominee should be considered for this award.  This is the vital information that will be used to judge the nomination and should contain as much information and detail as possible.

Nominator Details
Privacy Statement

Personal information supplied to or collected by Tamworth Regional Council will only be stored and processed by Council for lawful purposes directly related to the functions and activities of Council.  Any personal information supplied will only be disclosed to a third party for the purpose of performing a lawful function or activity and for no other purpose. Disclosure of personal information to a third party will be in accordance with Tamworth Regional Council's Privacy Management Plan (PDF 331.7KB).

Mandatory field(s) marked with *