Rollestonian of the Year – Nomination Form

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Your Name
Your name - not the person you are nominating.
This data will only be held for the purposes of this nomination and only used if any clarification is required.
Include the names of all people you are nominating or make it clear who this relates to i.e. The 'Smith family'
Please include everything that you feel is relevant to how this person(s) has benefited the village/residents including the time period involved.