Nomination Form APAC 2019

Award Category - Academia

Guidelines: -
1. To fill up this form you might take around 10-15 minutes
2. Please answer precisely as possible
3. Attach any relevant document that can support your nomination
4. Please mail the form and all the details to nominations@cisomag.com

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The Nominated Organization

Name of Nominated Institute/University*

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Project name* (for research project of the year)

Headquarters Address*
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Address 2

City*

State/Province*
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Postal Code*

Country*

Website*
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Total number of students* (for cybersecurity institute and university)

Name of Nominator:

Email of Nominator:

Phone number of Nominator:

1. Awards you would like to nominate. (Please select)

Cyber Security University of the year

Cyber Security Institute of the year

Research Project of the year: Cybersecurity

2. Is the nominated institution a division or subsidiary of a larger university?

Yes No

3. How your project/institute/university has brought about cybersecurity awareness within

its ecosystem and society at large. (Please specify in not more than 300 words)

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4. How has your institution/university shown exceptional performance against specific
indicators such as innovation, teaching, research, student experience, alumni relations and
development? (Please specify in not more than 300 words)
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5. Has your institution/university collaborated with cybersecurity community to bring

benefits to both sides? If yes, how? (Please specify in not more than 300 words)
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6. Explain the background to your project. Why was the research necessary and what were its
primary objectives? (Only for research project of the year)
7. Describe how the research was funded, what the work involved and what challenges arose.
(Only for research project of the year)

8. Attach any documents supporting your nomination

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Declaration: I hereby declare that all the above mentioned information given by me is true and correct to
the best of my knowledge and belief.

Submitted by :

Date: 01 01 2019 Sign & Stamp

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