NOMINATION FORM

The Mahathir Science Award is bestowed on any scientists, a group not more than three individuals, institution or organization worldwide in recognition of contributions and innovations towards solving problems in the tropics through science and technology and to be awarded to the most deserving based on merit.

The nomination for the award is open through-out the year. However the closing date for the award is on 30 April 2017. The Mahathir Science Award Foundation will announce the recipient of the award in December 2017.

The Award Committee will assess the merits of the nominee based on the materials which are being provided by the nominator and responses to the questions in the nomination form.

It is essential that the nominator attaches to this form all background information about the nominee and his/ her contribution that merits consideration for this award including newspaper and magazine articles, letters of recommendation etc. SELF NOMINATIONS WILL NOT BE CONSIDERED.

Download the form here, click the link below: –

Documents for nomination:

  • Nomination form
  • Recent photograph (in high-resolution, not less than 1MB)
  • Curriculum vitae
  • List of honours and awards (list only professional honours and awards which are conferred. Do not list membership of professional society which is obtained by application)
  • List of product/services commercialised
  • List of publications and patent (granted or pending)
  • Letter of referral (at least two (2) letters of referral to support the nomination)
  • Supporting document (newspaper clipping, media announcement, etc)

Please do not fax, but mail/e-mail the completed nomination form and supplemental materials, postmarked by 30 April 2017 to:

MSA Secretariat

MAHATHIR SCIENCE AWARD FOUNDATION (MSAF)
c/o Academy of Sciences Malaysia (ASM)
20th Floor, West Wing MATRADE Tower,
Jalan Sultan Haji Ahmad Shah,
Off Jalan Tuanku Abdul Halim,
50480 Kuala Lumpur

T: +603 6203 0633 / +603 6203 0172
F: +603 6203 0634

Contact Person: Syazwani Ramli
E: syazwani@msa-foundation.org



UPLOAD NOMINATION FORM