Please create your account, indicating your EFIS-affiliated National Society, your name and a valid e-mail address. You will receive an e-mail with instructions and a link to follow in order to confirm/validate your details and to complete your registration (please check your spam folder if you cannot find it in your inbox). Applications can only be submitted in the password protected area after verificaton/confirmation of account details. Once you have confirmed your account, you can log in any time to fill out your profile and / or update it.
The application process can be interrupted, saved and resumed (by accessing your account) at any time. Even after submission and until December 31st, 2017, the application can be accessed, modified and re-submitted. The system will automatically retain the latest submitted documents. The on-line application system will close definitively at 12:00 AM on December 31st, 2017.
An e-mail will be sent to you to confirm submission of your application. If you do not receive this notification, please contact the ACTERIA Prizes Secretariat (please check your spam folder if you cannot find it in your inbox).
Application Form – please complete all fields
Please provide the following complementary supporting documents. All documents must be submitted as either Word or PDF files. The size of each document you upload may not exceed 500kb. Data transfer is SSL encrypted for your security and all documents are stored exceptionally and exclusively for the purposes of this application procedure.
Note: the names of the uploaded files will be generated automatically by the system.