Nomination Form Sarphati Sanitation Award for Life Time Achievement

Sarphati awards 2019

Submit your nomination to the Sarphati Secretariat via this form before 1-4-2019. Please note that nominations must be submitted in English and that self-nominations are not allowed.
It is only possible to nominate a person/organization for one of the two Sarphati Sanitation Awards.



The nominee



Contact details:

The nominator

Please provide information about yourself:



Contact details:


The Sarphati Sanitation Awards 2019 focus on integrated, decentralized sanitation solution(s) for urban contexts: affordable systems that bridge the gap between wastewater and human waste collection, transportation and recycling/ re-use of materials.

What have been the nominee's efforts/activities and achievements in finding sustainable solution(s) to the sanitation challenge in urban settlements in low and middle income countries?
Focus and specify in particular on the integrated approach, results achieved and impact (if applicable). Include in your answer the nominee’s experience in linking different partners from the public and the private sector in the quest to improve the sanitation situation.

Number of words: 300-750 words

Why in your opinion are the efforts, activities and achievement(s) of the nominee outstanding?
What has been the long term contribution of this individual to accelerate the access to an integrated decentralized sanitation solution? (the Sustainable Development Goals (6.2. and 6.3.)
For example, in terms of creating an enabling environment, system change, mainstreaming new innovations, stakeholder involvement, lobbying, advocating, policy making, innovative value chain approach and/or innovative financing.

Describe in 300-750 words the outstanding, proven track record of the nominee and how he or she has been working for years on (an element of an) integrated decentralized sanitation system in a (peri-) urban setting.

Number of words: 300-750

Why should the nominee win the Sarphati Sanitation Award for Life Time Achievement?
Specify in which way the Sarphati Sanitation Award for Life Time Achievement will contribute to the future efforts/activities of the nominee in finding sustainable solution(s) to the sanitation challenge in urban settlements in low and middle income countries.

What will be the potential effect of winning the Award?

Maximum words allowed: 750

Privacy: The minimum personal data the SSA secretariat collects from you will be used to inform you about SSA 2019 or get in touch with you via email or telephone to request for further information about the nominee or nominator. This information will not be shared with third parties. We take the protection of your data seriously and have taken appropriate measures to prevent misuse, loss, unauthorized access, modification or disclosure of your data.