Insurance Start Up Of The Year

Open to any organisation less than Five Years old that can demonstrate success in making a noteworthy contribution to the UK general insurance

EPRA 2023 Nomination Form

Name *

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Last

Email *

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Phone *

Nominee's Full Names *

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Last

Title (Eample: Mr, Miss, Ms) *

Phone *

Email *

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Select Category *

Reasons for nomination/Achievement *

File Upload

UPLOAD FILE TO SUPPORT YOUR NOMINATION [Allowed files are: .png, .jpg, .doc, .ppt, .pdf]