Proposal for commemoration in the ACT's nomenclature

Nomination of a notable Australian

The ACT Planning and Land Authority is seeking nominations of notable Australians for inclusion in the ACT's nomenclature database to be used to name future suburbs, streets and parks. This will be an ongoing project, nominations are always welcome. Simply fill in the nomination form below.

When proposing names for commemoration in the ACT's nomenclature, please consider the place names processes and the following guidelines:

To be nominated in Canberra's street nomenclature a person must be deceased (a 12 month grace period applies before a name can be commemorated); and
names that are likely to cause offence or confusion are avoided.

The information you provide in the fields below should be comprehensive enough to create a suitable biography.

Please do not hesitate to contact the Place Names Officer on 62050057 if you have any questions.

Details of applicant

This proposal has been submitted by: (please insert your name and contact details below)

*Name:
*Contact address:
*Telephone no:
*Email:

Details of person being nominated

*Surname:
Maiden name: (if applicable)
*First name:
*Date of birth:
*Date of death:
Education and qualifications:
*Outline of contribution:
References/sources:
Your relationship (if any) to person being nominated:
Contact details of next-of-kin (if known):

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