CISO50 Nomination - CISO 50 & Future Security Awards

Self Nomination Form

Name: *

Title *

Company *

Industry *

Contact Number *

Business E-mail *

Location *

In 200 words or less, please mention why the nominee is eligible for the award. Describe specific instances of any innovative project, technology innovation or security campaign that the nominee has spearheaded/been part of. *

200 words left

Captcha Code *

Nomination for Someone Else

Nominee Details

Name of the nominee *

Title *

Nominee's Company *

Nominee's Job Industry *

Nominee's Contact Number *

Nominee's Business E-mail *

Nominee's Location *

Applicant Details

Name of the applicant *

Applicant's Title *

Applicant's Company *

Applicant's Contact Number *

Applicant's Business E-mail *

Applicant's Location *

In 200 words or less, please mention why the nominee is eligible for the award. Describe specific instances of any innovative project, technology innovation, or security campaign that the nominee has spearheaded/been part of. *

200 words left

Captcha Code *