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CASL-Liver Canada Sass-Kortsak Award

NOMINATION FORM

Nominator Information

Name of Nominating CASL Member

Email Address

Nominee Information

First Name

Institution of Nominee

Relationship to Nominee (e.g. colleague, collaborator, trainee):

Last Name

Nomination Statement

The Sass-Kortsak Award recognizes an individual who has made an outstanding achievement in research and science in pediatric hepatology. In the following space, please outline the accomplishments of the nominee that, in your opinion, qualify them for this award. You may use extra space if necessary.

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