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Nomination form for the post of President-Elect of the RSUA for the year 2021/22
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I confirm that I am willing, if elected, to serve on RSUA Council as President-Elect during the 2021/22 year and as President during the 2022/23 and 2023/24 years.
(Required.)
I confirm
Contact Details
Name of candidate
Address Line 1
Address line 2
City/Town
County
Postal Code
Country
Email Address
Phone Number
Date of birth
Please tell us your date of birth.
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
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1911
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1914
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Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
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Honours, Degrees, Affixes
Name and address of organisations where currently employed
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This nomination is supported by the following 15 members of the Society
(Required.)
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15
*
I confirm that the chartered members listed above have agreed to support my nomination.
(Required.)
I confirm
