Honorary Fellows nomination form

Honorary Fellowship nomination form

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Candidate's full name:*

Job title:*

Institution (if relevant):

Contact information of candidate (if known):

When completing this form; please refer to the guidance above.

Please write a statement clearing demonstrating how the nominee has contributed to the advancement of physiology and the significance of the impact of their work (no more than 2000 words including references):*

It is important to provide specific examples of the contributions of the nominee. Examples may include references to specific publications or other contributions.

Nomination support

I declare that the information given on this form is, to the best of my knowledge, up to date and correct.

Name of proposer:*

Institution (if relevant):

Email address:*

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Neurophysiological Bases of Human Movement 2025

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