Nominate Socially Responsible Enterprise

Corporation Name

Domain of Activity

Location

CEO Name

Please tell us why you nominate this person?

Are you related or closely connected to this person?

Yes

If yes, please explain possible relations/conflicts.

Please provide your phone number and email should we contact you for further information

Phone

Thank you for your interest in SENEGEL. When completed, please submit application online or return the application to contact@senegel.org