Nomination for PSA Annual Conference Delegate 2013
Workplace Group (or combined WPG)
______
We, the undersigned financial members of this workplace constituency of the PSA, nominate:
NAME: (Print) ______
DEPT/AUTHORITY: ______
WORK LOCATION: ______
RESIDENTIAL POSTAL ADDRESS: ______
______P/code ______
PHONE (9-5): ______
DATE: ______
1. NOMINATOR (Print name): ______
Signature: ______
2. NOMINATOR (Print name): ______
Signature: ______
I hereby consent to my nomination –
(signature of candidate) ______
To be eligible for election to Annual Conference delegates must be members of the workplace group or combined workplace group for which they are standing and financial members of the Public Service Association.
Send to: Secretariat, Attn: Conference Organiser
Public Service Association, GPO Box 3365, Sydney, 2001
or fax (02) 9262 1623.
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CANDIDATE’S RECEIPT FROM DEPUTY RETURNING OFFICER
To (Candidate): ______
I hereby confirm your nomination as Annual Conference delegate for the ______
Electorate on ______2013.
Conference Organiser.
Nomination for PSA Annual Conference Alternate Delegate 2013
Workplace Group (or combined WPG)
______
We, the undersigned financial members of this workplace constituency of the PSA, nominate:
NAME: (Print) ______
DEPT/AUTHORITY: ______
WORK LOCATION: ______
RESIDENTIAL POSTAL ADDRESS: ______
______P/code ______
PHONE (9-5): ______
DATE: ______
1. NOMINATOR (Print name): ______
Signature: ______
2. NOMINATOR (Print name): ______
Signature: ______
I hereby consent to my nomination –
(Signature of candidate) ______
To be eligible for election to Annual Conference delegates must be members of the workplace group or combined workplace group for which they are standing and financial members of the Public Service Association.
Send to: Secretariat, Attn: Conference Organiser
Public Service Association, GPO Box 3365, Sydney, 2001
or fax (02) 9262 1623.
------
CANDIDATE’S RECEIPT FROM DEPUTY RETURNING OFFICER
To (Candidate): ______
I hereby confirm your nomination as Annual Conference Alternate Delegate for the ______
______Electorate on ______2013.
Conference Organiser.