UNESCO World Press Freedom Prize

Form for presentation of candidature

Candidate presented by
Member State, professional organization, 
non-governmental organization	     	
Given name/family name
(if the candidate is a person)
Name of the Organization
(if the candidate is an organization)	     	     	
	Given name 	Family Name	
	Name of organization	     	
Date and place of birth
(if the candidate is a person)
Date and place of creation
(if the candidate is an organization)	Date 	     	
	Place 	     	

Nationality
(if the candidate is a person)
Country of origin/headquarters
(if the candidate is an organization)	     	
Address	Street name/number	     	
	Postal Code 	     	
	City 	     	
	Country	     	
	Telephone	     	
	E-mail 	     @     .     	
Brief biography
(if the candidate is a person)
History
(if the candidate is an organization)

Please highlight the nominee’s contribution to the defence and/or promotion of freedom of information over the years
(Continue on separate sheet, if necessary)
	     	

Please add all necessary background documents (e.g. resume, statutes for an organization, etc.), which may be of use for the pre-selection process.

The material concerning candidates should be sent, before 15 January 2009 to:

UNESCO
Programme for Freedom of Expression, Democracy and Peace
1, rue Miollis
75732 Paris cedex 15
France
Tel: 33.1.45.68.42.12
Fax: 33.1.45.68.55.84
E-mail: s.coudray@unesco.org