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Tertiary Education Union – Industrial and Professional Committee nomination form: 2013 - 2014 Industrial and Professional Committee Two ITP academic staff representatives Two University academic staff representatives Two ITP general/allied/professional staff representatives Two University general/allied/professional staff representatives Two Women’s representatives One Wānanga representative One REAP/OTEP/PTE representative Nominator I nominate _____________________________________________________ for the position of _____________________________________________________ on the 2013 -2014 Industrial and Professional Committee.

Nominator’s name

Nominator’s signature


Seconder I second the above nomination.

Seconder’s name

Seconder’s signature


Nominee I accept the above nomination.

Nominee’s name

Nominee’s signature


Candidates for the Industrial and Professional Committee must be from the constituency they represent and must be nominated and seconded by financial members of that constituency. Please print names clearly. Nominations close at 5.00 pm on Wednesday 10 October 2012 with the returning officer, PO Box 11767, Wellington, fax 04 385 8826 or