AntwerpXL 40 under 40 | Submit your nominations here

40 under 40 - nomination form

Fill in details below for the person being nominated for the 40 under 40 initiative.

First Name

Last Name

Nominee's organisation

Nominee's job Title

Nominee's email

Phone

Date of birth (YYYY/MM/DD)

LinkedIn URL... (if applicable)

Twitter Handle

Please provide links to any recent press e.g. articles, posts etc (Optional)

Please note any awards (optional)

Why do they belong in the AntwerpXL 40 under 40?

Not the nominated person? Please leave your details below
First name

Surname

Job title

Organisation

Relationship to nominee