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Name Of Nominee
*
Type of member
*
Organisational Member
Individual Member
Address
*
Telephone Number
*
I am willing to be appointed as a Director
*
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No
Please State Why You Want To Become A Board Member
*
Please State Any Skills Knowledge And Experience
*
Seconder Name
*
Type of seconder
*
Organisational Member
Individual Member
Organisation If Applicaple
*
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Board Nomination Form