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SA/NT Chapter Committee Nomination Form

2023 SA/NT Chapter AGM Committee Nomination Form

As you are signalling your consent to this nomination, all nominations must be in writing and electronically signed by you and your proposer and seconder. Nominations must be lodged by Wednesday 22 November 2023.

  • Proposer/ Seconder

  • (your institution)
  • (name of nominee)
  • (name)
  • (your institution)
  • Nominee Declaration

  • (nominee)
  • (your institution)
  • (Name entered above is an electronic signature)
  • DD slash MM slash YYYY

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