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An invitation of becoming a Blue Planet Prize nominator / a respondent of the environmental questionnaire


An invitation of becoming a Blue Planet Prize nominator / a respondent of the environmental questionnaire

Blue Planet Prize
Nominations are open to persons who are registered with our foundation.
If you wish to nominate someone, please fill the register form below ( A self nomination for the prize may not be accepted. )

Questionnaire on Environmental Problems and the Survival of Humankind
The survey is open to persons who concern with the earth environment.
If you wish to respond to the survey, please fill the register form below.

Items with asterisks are required.
Private information shall not be used only by the Asahi Glass Foundation for the purposes
such as the Blue Planet Prize nomination processing and the environmental questionnaire activity.
Your Request *

Name *
Title(Dr., Prof.,etc) *
Gender *     
Affiliation *
Other: Please specify. (  )
Organization *     
Section
Position held
Postal address
Country *
E-mail address *
E-mail
(Re-enter to confirm)  *