Asian Black Bangladeshi African □ □ Indian Caribbean □ □ Pakistani Any Other Black Background (specify □ □ if you wish) Any Other Asian Background □ (specify if you wish) ……………………………………………. Ethnic Background ……………………………………….. Mixed Chinese Asian and White □ Any Chinese Background Black African and White □ □ (specify if you wish) Black Caribbean and White □ Any Other Mixed Ethnic Background …………………………………………….. □ (specify if you wish) White ………………………………………………… White background Any Other Ethnic Background □ (specify if you wish) Any Other Ethnic Background (specify □ if you wish) ……………………………………………… ………………………………………………… And which group does your candidate for an honour identify with? Please tick one box
Asian Black □ Bangladeshi □ African □ Indian □ Caribbean □ Pakistani □ Any Other Black Background (specify if you wish) □ Any Other Asian Background (specify if you wish) ……………………………………………. ……………………………………….. Mixed Ethnic Background Chinese □ Asian and White □ Any Chinese Background □ Black African and White (specify if you wish) □ Black Caribbean and White …………………………………………….. □ Any Other Mixed Ethnic Background (specify if you wish) White ………………………………………………… □ White background Any Other Ethnic Background (specify if you wish) □ Any Other Ethnic Background (specify if you wish) ……………………………………………… ………………………………………………… And which group does your candidate for an honour identify with? Please tick one box
Honours-Nomination-Form.doc-with-GDPR.docx