中国红十字会总会文件.doc

HONG KONG RED CROSS The 46th Florence Nightingale Medal (Hong Kong Selection) 第46屆南丁格爾獎章（香港區提名） Nomination Form 提名表格 Replies to be typewritten and returned before 23 November 2016 (according to postmark) to the Hong Kong Red Cross Headquarters, 19 Hoi Ting Road, West Kowloon, Hong Kong (請於2016年11月23日(以郵戳為準）把填妥的提名表格交回香港西九龍海庭道19號香港紅十字會總部) Remarks: For initial nomination, please complete the form below in Chinese first. Selected candidates will be notified to submit an English version prior to submission to the International Committee of the Red Cross (ICRC) for final consideration. (備註：，。，。(第一部份) NOMINATOR’S DETAILS 提名者資料 Name of Organization （機構/團體名稱）: Name of Contact Person （聯絡人姓名）: Post Title of Contact Person （聯絡人職位）: Contact No. （聯絡電話）: Email （電郵地址）: Address （郵寄地址）: Candidate to be nominated被提名者資料 Name in English: 中文姓名： ： ：Justification of the nomination – fill in pages 2 and 3 of this form （提名理由 – 請填妥第2及3頁）: Regarding the two criteria set out in Article 2 of the Regulations for the Florence Nightingale Medal – see bottom of page 3 – the nominator should: provide a description of the nominee’s exceptional attributes by: giving specific examples of activities that show courage and compassion, describing specific activities carried out to meet all or part of the needs – including those at the cultural and spiritual levels – of the injured, sick or otherwise vulnerable, describing in detail innovative activities that have served to improve the quality of care and/or of staff training; describe the circumstances in which these activities were carried out; provide a description of other activities in addition to those considered exceptional. 根據南丁格爾奬章規則第二條（見本表格第3頁頁尾），：(2) 開展工作的環境； (3) 上述未涉及的工作情況。 Only descriptions written on pages 2 and 3 of this form will be considered. (評審只會考慮於此表格第2至3頁描述的情況) Article 2 of the Regulatio