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Nomination Form (2015) 2016

Nomination Form (2015) 2016

Name of Nominee: __________________________________

Name of Nominee: __________________________________

for the position of:  Peoples Churchwarden (2 positions)  Parish Councillor (3, 6 or 9 positions as determined by the meeting)  Parish Representative (5 positions)

for the position of:  Peoples Churchwarden (2 positions)  Parish Councillor (3, 6 or 9 positions as determined by the meeting)  Parish Representative (5 positions)

I declare that I am a communicant member of the Anglican Church of Australia and am not a prohibited person within the meaning of the Child Protection (Prohibited Employment) Act 1998.

I declare that I am a communicant member of the Anglican Church of Australia and am not a prohibited person within the meaning of the Child Protection (Prohibited Employment) Act 1998.

Signed (Nominee): ____________________________________

Signed (Nominee): ____________________________________

Name of Nominator: __________________________________

Name of Nominator: __________________________________

Signature of Nominator: _______________________________

Signature of Nominator: _______________________________

Parish Administration Ordinance 2008 4.6 (1): ‘A person may not be nominated unless he or she has consented verbally or in writing to the nominator or another person at the meeting. A person nominated need not be present at the meeting. A person making a nomination must be present at the meeting.’

Parish Administration Ordinance 2008 4.6 (1): ‘A person may not be nominated unless he or she has consented verbally or in writing to the nominator or another person at the meeting. A person nominated need not be present at the meeting. A person making a nomination must be present at the meeting.’

Before making a nomination or accepting nomination, please read carefully the information on the back of this form.

Before making a nomination or accepting nomination, please read carefully the information on the back of this form.

Please forward nominations to the Parish Office Please forward nominations to the Parish Office NOLATER LATERTHAN THAN121 FEB 2016 NOLATER LATERTHAN THAN1 21 FEB 2016 NO MARCH 2015 NO MARCH 2015 together with a brief statement of relevant skills and experience, preferably in together with a brief statement of relevant skills and experience, preferably in digital form. A (digital) photograph is also recommended. digital form. A (digital) photograph is also recommended.


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