Republic of Kenya | The National Heroes Council

Nomination Form for National Heroes

Honouring Heroes, Honouring Kenya

Part A: Instructions

PLEASE READ THE NOTES HEREUNDER CAREFULLY BEFORE COMPLETING THE FORM.

Fill this form in BLOCK LETTERS.
The Citation (grounds for recommendation) must be clear and precise.
Attach supporting documentation including testimonials, copies of news articles, features, photographs, videos, publications, certificates, letters of recommendation from government officials or community leaders highlighting the nominee's contributions, reports highlighting impact of nominee's contribution to the nation or community etc.
Where the nominating person or body is not the final authority, the person or body may submit the nomination to the confirming officer. This may be the case for example, in ministries where the principal secretary is not the nominating officer.
The information contained in the nomination form is strictly confidential and will not be communicated to any unauthorized person.
If the space is insufficient, provide additional information on a separate page and attach it to this nomination form.
Please note that this is a nomination and NOT a guarantee for designation of a nominee as a hero or heroine.

Part B: Information On the Nominee

Title (Mr., Mrs., Miss, Ms., Dr., Prof., Hon., etc)

Surname *

Other Names *

Designation / Title / Rank (if any)

ID / Passport Number

Date of Birth

Nationality

County of Birth (if Kenyan)

County of Impact

Postal Address

Email Address

Telephone Number

Mobile No.

Home County / Location

Home County *

Sub-County *

Ward

Location

Sub-Location

Village

Highest Academic Qualification

Occupation

Record of Public Service or Role in National Development (and years of service / impact)

Previous Awards of Honour Granted

List any previous awards or honours granted to the nominee (optional).

Award	Date	Person / Body that Recommended

Part C: Citation

To be filled by the nominating person / organisation.

Criteria for identification, selection and declaration of heroes
Kindly select ONE SPECIFIC CATEGORY / FUNCTIONAL AREA which the nominee has majorly achieved in. Indicate what makes the nominee stand out from others.

Category *

Citation / Description *

Other Recognition

Please list any other ways in which the nominee's contribution has been recognized elsewhere (e.g. globally, in the media, by professional groups or interest groups).

Supporting Documents

Optional. Attach testimonials, news articles, photographs, videos, publications, certificates, or letters of recommendation.

Choose files

Part D: Details of Person / Body Making the Nomination

Title (Mr., Mrs., Miss, Ms., Dr., Prof., Hon., etc)

Surname *

Other Names *

Designation / Title / Rank (where applicable)

ID / Passport Number

Date of Birth

Nationality

County of Birth (if Kenyan)

Postal Address

Email Address *

Telephone Number

Mobile No. *

The National Heroes Council reserves the right to verify the information provided and may request additional documentation or clarification during the evaluation process. The decision of the Council regarding the selection and declaration of heroes is final.

By submitting this form, I confirm that the information provided is accurate and complete to the best of my knowledge. *

Review & Submit

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