Award nominations form:
Abarca Prize, Doctor Juan Abarca International Award for Medical Science
Please, complete the form in English
Nominating institution or person (nominator’s full name/ institution’s full name)
(In case it is a nominating person) institution and position
(In case it is a nominating institution) contact person’s full name
Full address
E-mail address
Direct phone number

Nominee’s information

Nominee’s full name
Institution and position
Full address
E-mail address
Direct phone number

Candidate person’s nomination:

Doctor Juan Abarca International
Prize for Medical Sciences
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In addition, if you consider that the processing has not been carried out in accordance with current legislation, you can contact the Supervisory Authority, the Spanish data Protection Agency (www.aepd.es), calle Jorge Juan, 6, 20001 – Madrid.

CONFIDENTIALITY NOTICE

Fundación de Investigación HM Hospitales will ensure confidentiality of the nominations made. The list of nominations made will not be public nor will any information be released about the candidates. This message is intended solely for its recipient and may contain confidential information whose disclosure is prohibited by Law. If you have received this message by mistake, please inform us immediately by reply sent to the above email address and delete both the message and any attached files it may contain.