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Updated : 03 Jul

You are here : about PIANC > awards > De Paepe - Willems Award

PIANC AWARDS - DE PAEPE-WILLEMS AWARD

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APPLICATION FOR THE AWARD

This form has to be completed and printed (click link in upper right corner of this box). The printout needs to be returned by the candidate, together with his or her article, to the General Secretariat of PIANC :

Graaf de Ferraris, 11th floor - Box 3
Blvd. du Roi Albert II, 20
1000 Brussels
Belgium

If you wish, you can also send in your contribution electronically to info@pianc-aipcn.org. The same goes for the form below, provided that it is sent as a scan and that your signature is on it.

De Paepe - Willems Award Application Form
Name :
Surnames :
Company :
Address :

City & postal code :
Country :
Tel :
Fax :
Email :
Date of birth :
Current professional Activity :

Title of article :



Approximate number of words :
Number of separate illustrations (if any) :

I certify that the accompanying article has been written solely by me and has not been published elsewhere. I have read and agree to be bound by the rules of this competition.
Date & signature

CLOSING DATE FOR RECEIPT OF ENTRIES IS 31 AUGUST