NOMINATION FORM - Canadian FinTech & AI Awards 2020



|[pic] |Proudly supporting Canadian innovation in Financial Technology and |

|NOMINATION FORM |Artificial Intelligence |

|HSBC – Diversity & Inclusion in Innovation Award Category | |

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|NOMINATOR INFORMATION |

|First Name: |Last Name: |Title: |

|Company/Organization: |Email: |Telephone: |

|How did you hear about the Canadian FinTech & AI Awards? |

|DFI Website ☐ |Social Media ☐ |Colleague ☐ |

|Newsletter ☐ |Awards Website ☐ |Other: |

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|NOMINEE INFORMATION |

|First Name: |Last Name: |Title: |

|Company/Organization: |Website: |Email: |

|City: |Province: | |

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|HSBC DIVERSITY & INCLUSION IN INNOVATION AWARD CATEGORY QUESTIONS |

|This award is to recognize an organization, a company or a person who has demonstrated leadership in diversity and inclusion in Canada in |

|the innovation space. The demonstration of diversity and inclusion must be measurable and transparent and constitute real support for |

|inclusivity. This award is not open to a scheduled bank, a credit union or financial institution. |

|Must be a Canadian person, or organization or entity |

|Must demonstrate concrete leadership in diversity and inclusion |

|Must be in innovation space |

|Results must be visible and measurable |

|Not intended for advisory firms but rather is to recognize tech innovators leading in diversity and inclusion |

|Not open to banks, credit unions or financial institutions |

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|This Award is sponsored by HSBC. |

|Each question must be answered in a maximum of 2500 characters (approximately 400 words). |

|Please describe the nominee’s business activities? (eg. what they do) |

|Please describe the nominee’s activities in the Canadian innovation space. |

|Please describe how the nominee’s activities support (a) diversity and (b) inclusion. Please give concrete examples. |

|Please describe how the nominee has been recognized for leadership in (a) diversity and (b) inclusion. |

|Is there any other information we haven't asked that might be relevant/important for the Judges to know? |

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|CONFIRMATION OF CONFIDENTIALITY AND TRUTH OF INFORMATION |

|I acknowledge that the nominee meets the criteria for the category and that I am responsible of the truth of the information I provide in the |

|nomination form. I understand that the detailed nomination information is kept confidentially by the Digital Finance Institute, and shared |

|only with the selected expert panel of judges in the category and the auditor of the Awards. |

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|ATTENDANCE |

|Please note that nominees must attend the 5th Annual Canadian FinTech & AI Awards Gala Dinner on November 18, 2019 in Toronto in order to win |

|an award. Tickets may be purchased through the website, . |

If you have any questions, please email awards@.

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