Correct Title of the Project (This is the name that will go on the trophy if you are the winner) *

Please select whether you are nominating an individual or a company? *– Select –IndividualCompany/Project

Company Name*

Job Title *– Select –Administration ManagerBoard MembersBroadcast systems EngineerBusiness Development ManagerCameramanCCOCEOChairmanCIOCo-Founder/Partner/OwnerComms ExpertConsultantCTODirector of PhotographyEditorEngineerExecutives-Marketing/SalesFilm DirectorFilmmakerFinance ManagerIT ConsultantIT/IS DirectorLegal ConsultantManagerManaging DirectorMinisterOperations ManagerOwnerPartner/OwnerPost Production EditorPRPresidentProducerProfessor/Lecturer/TeacherProject ManagerRegional ManagerResearcher/ScientistSales DirectorSupervisorSystem AnalystTechnicianTV DirectorVice ChairmanVice PresidentVP MarketingOthers

Industry *– Select –Broadcaster – TVBroadcaster – RadioManufacturer/VendorSystems IntegratorEquipment Rental HouseReseller/DistributorMedia Production HousePost Production CompanyOTT ServicesIPTV Service ProviderAV ServicesEvent/Stage show managementMedia ConsultantMedia Government EntityAdvertising AgencyPR AgencyRegulatory BodyResearch AnalystSatellite OperatorSatellite Solutions ProviderService/Solution ProviderTechnical/EngineeringTelecom Solutions ProviderTelecom OperatorVSAT OperatorRights Management ServiceOthers

Email Address *

Mobile No *

Address (Building / Office no.)

Country of Residence *– Select –United Arab EmiratesOmanQatarUnited KingdomUnited States of AmericaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalThe NetherlandsNew ZealandNicaraguaNigerNigeriaNorwayPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaRwandaSt. Kitts and NevisSt. LuciaSt. Vincent and The GrenadinesSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaYemenYugoslaviaZaireZambiaZimbabweGreenlandVirgin IslandsCanary IslandsMontenegroGibraltarNetherlands AntillesHong KongMacau

City *

If you have participated in a production category and commissioned this project to a regional production house, please provide us with the full name of the production house

Please attach any documents that will support your nomination in Word/PDF/JPG/JPEG format, maximum file size is 5MB.*

Tell us why they deserve to win (700-800 words max) *

Full Name *

Company Name *

Job Title *– Select –Administration ManagerBoard MembersBroadcast systems EngineerBusiness Development ManagerCameramanCCOCEOChairmanCIOCo-Founder/Partner/OwnerComms ExpertConsultantCTODirector of PhotographyEditorEngineerExecutives-Marketing/SalesFilm DirectorFilmmakerFinance ManagerIT ConsultantIT/IS DirectorLegal ConsultantManagerManaging DirectorMinisterOperations ManagerOwnerPartner/OwnerPost Production EditorPRPresidentProducerProfessor/Lecturer/TeacherProject ManagerRegional ManagerResearcher/ScientistSales DirectorSupervisorSystem AnalystTechnicianTV DirectorVice ChairmanVice PresidentVP MarketingOthers

Industry *– Select –Broadcaster – TVBroadcaster – RadioManufacturer/VendorSystems IntegratorEquipment Rental HouseReseller/DistributorMedia Production HousePost Production CompanyOTT ServicesIPTV Service ProviderAV ServicesEvent/Stage show managementMedia ConsultantMedia Government EntityAdvertising AgencyPR AgencyRegulatory BodyResearch AnalystSatellite OperatorSatellite Solutions ProviderService/Solution ProviderTechnical/EngineeringTelecom Solutions ProviderTelecom OperatorVSAT OperatorRights Management ServiceOthers

Email Address *

Mobile No *

Address (Building / Office no.)

Country of Residence *– Select –United Arab EmiratesOmanQatarUnited KingdomUnited States of AmericaAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBrunei DarussalamBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalThe NetherlandsNew ZealandNicaraguaNigerNigeriaNorwayPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalRomaniaRussiaRwandaSt. Kitts and NevisSt. LuciaSt. Vincent and The GrenadinesSamoaSan MarinoSão Tomé and PríncipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaYemenYugoslaviaZaireZambiaZimbabweGreenlandVirgin IslandsCanary IslandsMontenegroGibraltarNetherlands AntillesHong KongMacau

City *