Nomination form
Nominator
First name:
Last name:
E-mail:
Current affiliation:
Year of obtaining Ph.D. degree:
Year of publishing your first scientific paper:
Nominee
First name:
Last name:
E-mail:
Current affiliation:
Recommendation:
(Basic information about your candidate, their research interest and reasons why the candidate should be considered for the Dream Chemistry Award – max 1,000 characters)
Terms & Conditions:
I have read and accept the
Terms & Conditions
of the contest.
Personal data processing:
I hereby give my consent to the processing of my personal data by the Institute of Physical Chemistry PAS (IChF) with its registered office on Kasprzaka 44/52, Warsaw, Poland ("Data Controller"), i.e. my name, my photograph (including processing of image by cropping and composition), audio/video recordings of my person and my few-sentence statement about my scientific dream project for the purpose of posting my personal data including my photo on the Data Controller’s publicly accessible website, the Dream Chemistry Award official website, Data Controller’s accounts on social networks and in the Press Releases related to Dream Chemistry Award contest 2024.