Indigenous Knowledge and Indigenous Peoples Group Nomination

Nominator

Category of Nominee (Please select what you represent)

Government

Stakeholder group (Individual or group with an interest in Indigenous Knowledge and Local Knowledge)

Expert Group (A group which will be comprised of individuals with relevant expertise in Indigenous Knowledge and Local Knowledge)

Indigenous elder

Indigenous Expert

Title

First Name

Family Name

Gender

Male

Female

Prefer not to say

Telephone

Occupation

Nationality/Traditional Land and Territory/Indigenous Community

Affiliation (Organisation/Name of the respective Indigenous Community)

Address

Country