Nomination form for an FIP Award

Nomination for the FIP André Bédat Award

NominationForm for an FIP Award

Nomination for the FIP André Bédat Award

The Assembly of Pharmacists of the International Pharmaceutical Federation, convened in Helsinki in September 1986, established the "André Bédat Award" as a tribute to the services rendered to international pharmacy by Mr Bédat, who was FIP President from 1978 to 1986.

You may refer to the BU-Rules of Procedure 12 for the Governing rules of this Award, available at:

Information on the person nominating for the FIP André Bédat Award:

My name is:

My email address is:

I am:

Representing an FIP Member Organisation; please specify:

A member of the Board of Pharmaceutical Practice

Other; please specify:

Information on the candidatenominated for the FIP André Bédat Award:

I would like to nominate the following person for the André Bédat Award:

  1. Nominated person’s details:

First Name(s): Family Name:

Gender: Male Female

Nationality:

Country of residence:

  1. Is the person a pharmacist or a person eligible to be licensed as a pharmacist in either the country of residence or of qualification?

Yes No

  1. Is the nominee a member of the FIP Board of Pharmaceutical Practice and/or the FIP Bureau?

Yes No

The André Bédat Award recognises a pharmacist or a person eligible to be licensed as a pharmacist in, either the country of residence or of qualification, who is an outstanding practitioner, having made significant contributions to pharmacy at the international level.

  1. Please explain why the nominee is an outstanding practitioner.

Please give specific examples of the contribution providing as much detail as possible, in order to show why the nominee is considered to be outstanding in his/her area of practice. Please refer to the governing rules for guidance.

  1. Please describe the nominee's significant contributions to pharmacy at the international level (enhancing pharmacy practice outside the nominee's home country).

Please give specific examples of the contribution providing as much detail as possible:

Nominations should be submitted to the FIP Professional Secretary (at )before 1 March, of the year in which the award will be presented.

In addition to this form, don’t forget to attach to your email the nominee’s Curriculum Vitae of not more than two A4 pages.

Date of submission:

Please note that all nominations are to be strictly confidential to the selection committee and are not to be divulged.

The Professional Secretary will be responsible for informing the Award winner and only after this has happened may Board Members divulge the information relating to the winner.

The confidentiality of unsuccessful nominations is to be maintained.

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