Regional Poet Laureate Prize Award 2022 Order Number Please note all the information requested in this form is compulsory. Failure to submit all information will result in the submission being disqualified. Category * Choose the nomination category Regional Poet Laureate Prize 1. Nominee information: Name and surname of nominee: * Title of nominee Choose title of nominee Mr. Ms. Dr. Prof. Adv. Age of nominee * Telephone number of nominee Cellphone number of nominee * Email address of nominee * Postal or physical address of nominee * NB: Please specify the province * 2. Submission information Please submit not less than 3 poetry books published by the author, including anthologies. Title of book * Title of book * Title of book * Title of book Title of book Language: * Language: * Language: * Language: Language: 2.1 Please submit articles/papers/essays/commentary/interviews/presentations, written/presented by the author. Source * Focus/Theme * Platform * 2.2 Other books other than poetry, published by the author Book Title * Genre * 3. Authors profile Please type authors profile * 4. Motivation to support the nomination: * 5. Details of the nominator Name and surname * Telephone Cellphone * Email address * 6. Endorsement:I/we (the author/publisher) name and surname * Accepts/endorses the submission of the literary body of work, for the South African Literary Awards 2023: I/we confirm that the work submitted is the original work of: Author * date * 7. Declaration:I/we (the author/publisher) name and surname * declare that, should any matter pertaining to plagiarism arise around the work submitted, I/we shall take full responsibility to respond and deal with the matter until its finality and confirm that the South African Literary Awards cannot be held liable in this regard. date * 8. Submission Checklist Please tick Agree to confirm that you have read, understood and adhere to the rules. I have read and understood the submissions criteria * Agree I have included all the contact details requested * Agree The book I am submitting has never been entered before for the SA Literary Awards * Agree I will be sending copies of the books * Agree This nomination has been entered for one category only * Agree The submission has been endorsed accordingly * Agree I understand that late submissions will not be accepted * Agree I understand that the judges’ decision is final, and no correspondence will be entered into * Agree I understand that all submitted entries, whether successful or not, will not be returned to the submitting party * Agree Back to Categories
