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Nomination Form Secretariat Rep
8
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1
Terms And Conditions
I am a member of a group registered with Waterford PPN
Waterford PPN is non political, I agree as a representative to abide by this ethos in its entirety
I understand and will adhere to the role and responsibilites of the position as stated in the PPN Constitution and the Representatives Charter
(copies attached to email)
I am aware that Elections may take place post Nomination process
I have the authorisation of my group/organisation to submit this Nomination and I understand that they will be contacted to confirm.
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2
I agree to the Terms and Conditions as stated on Previous Page
*
This field is required.
Nomination is only valid if you agree to the terms and conditions
YES
NO
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3
Name
*
This field is required.
First Name
Last Name
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4
Email
*
This field is required.
example@example.com
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5
Phone Number
Home
Mobile
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6
Name of the PPN Organisation you are a member of that is nominating you
*
This field is required.
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7
Please tell us briefly why you are applying for the position (MAX 150 words)
*
This field is required.
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8
Declaration
*
This field is required.
I understand and agree that the data given on this form will be held and used by Waterford PPN in relation to the 2019 PPN Elections.
YES
NO
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9
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