AusDoCC Commitee Nomination Form | AusDoCC

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AusDoCC Commitee Nomination Form

AusDocc Nominations 2024-2025

AusDoCC Inc. AGM

Tuesday October 8 @ 7:30pm AEDT (Melbourne Time)

Meeting by Zoom (Link to Follow)

Nominations close: Monday September 30 at 5pm AEDT

I, (Your Name)*

First

Last

Your email address:*

Would like to nominate:*

Myself

Someone Else (Enter Name):

Seconder Name & Email Address:*

I nominate this person for (Select as many as you like) Any person nominated for an executive position is also nominated as a committee member:*

President

Vice President

Secretary

Treasurer

General Committee Member

If this is a first time nomination (for yourself), please give a brief description of what you would like to bring to the commitee.

By signing in the box below, I acknowledge that myself, the nominated person and my seconder are all registered members of AusDoCC. All registered members named on this form have given their consent.*

AusDoCC (Australian Disorders of the Corpus Callosum), PO Box 533 Altona, 3018, info@ausdocc.org.au, Inc.

Reg. A0057821R, ABN 54 754 767 674

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