SIA AGM Committee Nomination

SIA - COMMITTEE NOMINATION FORM
Use this form for nominations to the Executive Committee of the Submarine Institute of Australia. Please arrange for Proposer, Seconder and Candidate to submit their own version of the form.
Nominations are to be submitted at least 7 days before the scheduled date of the General Meeting at which elections are to be held.
Full Name*

First NameLast Name
E-mail*
Telephone Number:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Please select your category:*

ProposerSeconderCandidate
Please enter the date to which your SIA membership is paid*

DayMonthYear
Candidate Name*

First NameLast Name
Nominated for Position:*
If you wish to upload a biography, use this feature.
To prevent spammers, please enter the words (including a space if there is one) as you see them.*
By clicking SUBMIT, you are performing the equivalent of signing the form or, in the case of the candidate, providing written consent to the nomination.
Should be Empty:

SIA - COMMITTEE NOMINATION FORM