NOMINATION PROFORMA FOR ELECTION OF AN OFFICER OF THE SOCIETY

Position for which Candidate is Nominated:......................................................................

Candidate details:

Name: ......................................................................

Address:................................................................................................................................

..............................................................................................................................................

Telephone: ..............................................................

Fax: .........................................................................

Email: ..................................................................................................................................

Signature of Candidate: .........................................

Date: ...........................
 

Nominator 1:

Name: ......................................................................

Address:................................................................................................................................

..............................................................................................................................................

Telephone: ..............................................................

Fax: .........................................................................

Email: ..................................................................................................................................

Signature of Nominator1: ......................................

Date: ...........................

Nominator 2:

Name: ......................................................................

Address:................................................................................................................................

..............................................................................................................................................

Telephone: ..............................................................

Fax: .........................................................................

Email: ..................................................................................................................................

Signature of Nominator 2: .....................................

Date: ...........................