"*" indicates required fields Nominator/Referee DetailsTitle*MrMrsMissMsDrA/ProfProfFirst Name*Last Name*Position Title*Institution/Organisation/Business*Phone Number*Email Address* Relationship to Nominee*Nominee DetailsTitle*MrMrsMissMsDrA/ProfProfFirst Name*Last Name*Position Title*Institution/Organisation/Business*Phone Number*Email Address* Supporting StatementPlease outline why the Nominee is a suitable candidate for the Alan Coates Award for Excellence in Clinical Trials Research?*(Maximum 500 words)File UploadsNominee CV*Max. file size: 50 MB.