| Candidate 1 | |
| Name | |
| Country | |
| Category | |
| Gender | |
| Grounds for nomination (Max 500 letters) | |
| Presentation of candidate | |
| Bibliography or presentation of work (presentation of work applies to Promoters of reading) | |
| List of reference material about the candidate | |
| Contact details candidate | |
| Presentation of and contact details of person in charge of project (Promoters of reading only) | |
| Min. 2 references including contact details (Promoters of reading only) | |
| | |
| Candidate 2 | |
| Name | |
| Country | |
| Category | |
| Gender | |
| Grounds for nomination (Max 500 letters) | |
| Presentation of candidate | |
| Bibliography or presentation of work (presentation of work applies to Promoters of reading) | |
| List of reference material about the candidate | |
| Contact details candidate | |
| Presentation of and contact details of person in charge of project (Promoters of reading only) | |
| Min. 2 references including contact details (Promoters of reading only) | |
| | |
| Candidate 3 | |
| Name | |
| Country | |
| Category | |
| Gender | |
| Grounds for nomination (max 500 letters) | |
| Presentation of candidate | |
| Bibliography or presentation of work (presentation of work applies to Promoters of reading) | |
| List of reference material about the candidate | |
| Contact details candidate | |
| Presentation of and contact details of person in charge of project (Promoters of reading only) | |
| Min. 2 references including contact details (Promoters of reading only) | |
| | |
| Candidate 4 | |
| Name | |
| Country | |
| Category | |
| Gender | |
| Grounds for nomination (max 500 letters) | |
| Presentation of candidate | |
| Bibliography or presentation of work (presentation of work applies to Promoters of reading) | |
| List of reference material about the candidate | |
| Contact details candidate | |
| Presentation of and contact details of person in charge of project (Promoters of reading only) | |
| Min. 2 references including contact details (Promoters of reading only) | |
| | |
| Name of nominating body | |
| Contact person | |
| Address | |
| Postcode and city/state | |
| Country | |
| Telephone | |
| Fax | |
| E-mail | |
| Website | |
| | |
| | |
| | |