nomination form environment 1 (1)

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Nomination Form Nominee Details: Name: REY MONDEJAR PEREIRA Address: Lamba, Banga, South Cotabato Contact Number(s): 09477631526 Email Address: [email protected] Background on Environment Programs/Initiatives (Please use additional sheet if necessary): Project Officer- Income & Employment Generation through Watershed Rehabilitation (2000-2004) AusAID-PACAP Project Officer-Sustaining Local Capacity Enhancement for Resource Management and Development in the Allah Valley Watershed Forest Reserved (2009-2011) PTFCF Project Manager- Sustaining A Viable Environment in the Allah Valley Watershed Forest Reserved (SAVE Allah Valley project) ( 2014-to present) USAID Thru Philippine American Fund ALTERNATE : Nominee Details: Name: __________________________________________________________________ Address: __________________________________________________________________ Contact Number(s): ______________________________________________________ Email Address: ______________________________________________________ Background on Environment Programs/Initiatives (Please use additional sheet if necessary): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _____________________________________________ Nominator: Organization: ____________________________________________________________ Address: ____________________________________________________________ ____________________________________________________________ Contact Number(s):____________________________________________________________ Email Address/Website:________________________________________________________ Name of Nominator:___________________________________________________________ Position/ Designation:__________________________________________________________

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Nominate

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Nomination FormNominee Details:

Name:

REY MONDEJAR PEREIRAAddress:Lamba, Banga, South CotabatoContact Number(s):09477631526 Email Address:

[email protected] Background on Environment Programs/Initiatives (Please use additional sheet if necessary): Project Officer- Income & Employment Generation through Watershed Rehabilitation (2000-2004) AusAID-PACAP

Project Officer-Sustaining Local Capacity Enhancement for Resource Management and Development in the Allah Valley Watershed Forest Reserved (2009-2011) PTFCF

Project Manager- Sustaining A Viable Environment in the Allah Valley Watershed Forest Reserved (SAVE Allah Valley project) ( 2014-to present) USAID Thru Philippine American Fund ALTERNATE: Nominee Details:

Name:

__________________________________________________________________

Address:__________________________________________________________________

Contact Number(s):

______________________________________________________

Email Address:

______________________________________________________

Background on Environment Programs/Initiatives (Please use additional sheet if necessary):

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Nominator:

Organization:____________________________________________________________Address:

____________________________________________________________

____________________________________________________________

Contact Number(s):____________________________________________________________Email Address/Website:________________________________________________________Name of Nominator:___________________________________________________________Position/Designation:__________________________________________________________

Contact Number(s):____________________________________________________________

Signature:

_________________________________

Date:

_________________________________Please submit the completed Nomination form on or before June 15, 2015 to :

The Liceo Legal Aid Clinic/ College of LawLiceo De Cagayan University, Cagayan de Oro City or email it to:

[email protected] / [email protected]