World Intellectual Property Day Changemakers’ Gallery - Nomination Form

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Only information marked with an asterisk (*) will be displayed publicly.

To celebrate this year’s World Intellectual Property Day, we invite you to nominate one or more talented innovators, creators and entrepreneurs who are using IP rights to accelerate innovation and creativity for a better future, and whose work is an inspiration for others.

Please complete the form below for each nomination you wish to submit. If you are submitting a nomination for another person, please ensure the nominee is informed and agrees to sharing their information in support of World Intellectual Property Day 2024.

Name of nominee

Gender

Country

The SDG(s) the nominee is focusing on

Goal 1: No Poverty

Goal 2: Zero Hunger

Goal 3: Good Health and Well-being

Goal 4: Quality Education

Goal 5: Gender Equality

Field of work

Last name of nominee

The nominee is a

Description of nominee’s work and its (potential) benefits (max. 200 words)

Nominee’s social media

Link(s)

Additional information

Select File

Only file(s) with .jpeg, .jpf, .png, .jpg, .doc, .docx, .pdf extensions are allowed. Maxiumum size 5MB.

UPLOAD PHOTOS

Only file(s) with .jpeg, .jpf, .png, .jpg extensions are allowed. Maxiumum size 5MB.Required image resolution is: 640 × 640 px

Nominee's profile photo

Select File

Photo credit

Photo 1 nominee at work

Select File

Photo credit

Photo 2 nominee at work

Select File

Photo credit

Photo 3 nominee at work

Select File

Photo credit

Nominee's email

Submitter's email

Nominee’s comments

I confirm that, to the best of my knowledge, the information provided is correct.

I authorize WIPO to use materials submitted herewith for promotional purposes.

WIPO reserves the right to decide on the nominees (and images) that will appear in the World Intellectual Property Day Gallery.