P.O Box 4488, Randburg, 2125. 74 Mimosa Road, Randpark Ridge, 2165.

Email address: info@sala.org.za Website: www.sala.org.za

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FIRST-TIME PUBLISHED AUTHOR

NOMINATION FORM
Name of nominee_________________________________________________________

Title of book/publication_____________________________________________________________

Language/s________________________________________________________________

Comments to support the nominee (if available, please submit profile of author)

_________________________________________________________________________

_________________________________________________________________________

Details of nominator

Name: ___________________________________________________________________

Contact numbers: __________________________________________________________

E-mail: ______________________________________________________________________

NB: please submit ten (10) copies of the book/publication

Signature (Nominator) _________________________ Date___________________________________

Endorsements:

I ______________________________________________ the publisher/author accepts the nomination by

___________________________________ (the nominator) and confirm that the work submitted is my original

work/published by/us _____________________________________________________________________

Signature: _______________________________________ Date: ____________________________________

Declaration:

I/we _________________________________________________ (the author/publisher) declare that should any matter

pertaining plagiarism arise around the work submitted, I/we shall take full responsibility to respond and deal with the matter until
its finality and confirm that the South African Literary Awards cannot be held responsible in this regard.

Signature: _______________________________________ Date: ____________________________________