EESA Western Australia Chapter Committee Nomination Form

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To be submitted no later than 5 pm AWST Tuesday 23 August 2022.

NOMINATION

Nominee name *

The person named above, being a member of the Electric Energy Society of Australia, is hereby nominated for election to the Western Australia Chapter of the Electric Energy Society of Australia Committee for the year 2023.

Nominator name *

Nominator email address *

Date *

YYYY

NOMINEE CONSENT

I consent to the nomination and agree to the publication of the information on this form, for the election information. If elected, I consent to have my contact details made available to other EESA and Engineers Australia office bearers and members for the sole purpose of EESA business. I understand that, as a volunteer, I will be required to attend monthly EESA committee meetings and undertake committee roles as assigned to me during my period of office. *

Yes

Required

Nominee name *

Nominee email address *

Date *

YYYY

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