Nomination Form: Election of NUT Deputy General Secretary 2015-2020

Nomination Form: Election of NUT Deputy General Secretary 2015-2020

COMPLETE SHADED AREAS - PLEASE WRITE CLEARLY

Name of Candidate:	Home Address :	School/Workplace Address:
Mr Patrick Murphy Membership No: C34810	25 Norfolk Gardens Chapel Allerton Leeds LS7 4PP Tel. No: 07971990365	Leeds NUT Adams Lodge Adams Court Leeds LS12 1DB Tel. No. 0113 244 9864
Association(s) of which a member for the 7 years immediately preceding the opening of the ballot, ie, the period 3 June 2007 – 4 June 2014 inclusive.  Current Association: Leeds OR Union Official - post held:

THE FOLLOWING DECLARATION MUST BE COMPLETED IN FULL

DECLARATION: We the undersigned, hereby certify that:

(a)     not less than 7 days’ notice of the general meeting, stating the business to be transacted, was given;

(b)     the consent for nomination has been obtained of the candidate named above;

(c)     the member named above was properly nominated by the:-

Association:								No:
	BY			(i)     ballot of members of the above-named association;
	OR			(ii)    at a quorate general meeting of the above-named association on:
Date of meeting:					Attended by                       members		Quorum:
SIGNED		Secretary:*				President:*			Date:

*If not present at the meeting then another officer of the Association who was present.

Note - two separate signatures are required.

ACKNOWLEDGEMENT OF NOMINATION FOR DEPUTY GENERAL SECRETARY 2015-2020

Please complete the box below for prompt acknowledgement

Name:	Closing date for nominations: WEDNESDAY 2 DECEMBER 2014 This slip will be date-stamped and returned immediately to the secretary of the nominating association. If it is not returned to you, please remember to enquire within 7 days of posting the nomination form, or not later than the closing date for receipt of nominations. This slip will be required as proof of submission of a nomination in the event of any query.
Address:
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