About Nominations

Fukuoka Prize Online Nomination Form

  1. Entry
  2. Confirm
  3. Completion

Please enter your nomination

Please select your Selection
Date of birth of nominee(※ date of establishment for group or organization)

Nominator Details

Please provide the following information about yourself as a nominator. As for your information, the secretariat shall keep its confidentiality.


contact information

※Please note that we will contact you preferentially via email.
※Please be advised that we may contact via email address given above if we have any enquiries regarding with your nomination detail.
Please tick the box if you could kindly participate as a nominator of the Fukuoka Prize in the future. Please be advised that we may send you an email for nomination request.
I can continue to participate as a nominator in the future.


Please fill in all the required fields. Please fill in as much as fields possible even if they are not required.

※Please complete the form in English.
※No self-nomination is permitted.

We would accept the list of information relating to your nominee's articles, C.V., academic thesis, and publications. Please send the list via email attachment or post them to our postal address.

Contact information
email address f.prize[@]io.ocn.ne.jp
Please remove [] and send when contact us.
FAX 092-735-4130
Address 〒810-8620 c/o International Affairs Dept., General Affairs & Planning Bureau, Fukuoka
Secretariat of the Fukuoka Prize Committee

Please read through the “Supervision of Personal Information”, Check the “Agree” box below and press the “confirm” button.

Please agree to the Supervision of personal information

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