IEEE HONG KONG SECTION
Chief Officers Nomination Form – 2017 Session
Members are invited to submit nominations for the 2017 Session IEEE HK Section Chief Officers. The
Chief Officers to be nominated are the Chair Elected, Secretary and Treasurer. In accordance to the
IEEE HK Section By-laws, the Section 2016 Chairman-Elected will become the IEEE HK Section
Chairman with effect from January 1, 2018.
Only Hong Kong IEEE members of grade Graduate Student Member, Member, Senior Member and
Fellow are eligible to submit nomination and to be nominated. Nominations by petition shall use this
form, duly signed by a minimum of not less than 172 IEEE Hong Kong members of grade Graduate
Student Member, Member, Senior Member and Fellow. You can nominate either all or any of the
three Chief Officers.
_______________________________________________________________________________
I wish to nominate the following Hong Kong IEEE members to serve the 2017 Session IEEE HK
Section Chief Officers. I confirm that the nominees have given their consents to the nomination and
they are eligible for the nomination.
Chair Elected
Prof./Dr./Mr./Ms. :__________________________________________
Membership No.:___________________ Email: ___________________________
Tel: ____________________________ Fax: _____________________________
Secretary
Prof./Dr./Mr./Ms. :__________________________________________
Membership No.:___________________ Email: ___________________________
Tel: ____________________________ Fax: _____________________________
Treasurer
Prof./Dr./Mr./Ms. :__________________________________________
Membership No.:___________________ Email: ___________________________
Tel: ____________________________ Fax: _____________________________
Proposed by : __________________________ Signature : ________________________
Membership No. : _____________ Tel : ______________ Fax : _______________
Please send / fax the completed Form to the Secretary, Y W Liu,
to W311 Industrial Centre, The Hong Kong Polytechnic University, Hung Hom or
Fax: 3149 8140 on or before 31 October 2016
We hereby support the above 2017 Session Nominations for Chief Officers the IEEE Hong Kong
Section.
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Page 1 of 8 Hong Kong Section 2017 Chief Officers Petition Signature Form
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Page 2 of 8, Hong Kong Section 2017 Chief Officers Petition Signature Form
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We hereby support the above 2017 Session Nominations for Chief Officers the IEEE Hong Kong
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Page 3 of 8, Hong Kong Section 2017 Chief Officers Petition Signature Form
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We hereby support the above 2017 Session Nominations for Chief Officers the IEEE Hong Kong
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Page 4 of 8, Hong Kong Section 2017 Chief Officers Petition Signature Form
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Page 5 of 8, Hong Kong Section 2017 Chief Officers Petition Signature Form
Signature
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Page 6 of 8, Hong Kong Section 2017 Chief Officers Petition Signature Form
Signature
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Page 7 of 8, Hong Kong Section 2017 Chief Officers Petition Signature Form
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We hereby support the above 2017 Session Nominations for Chief Officers the IEEE Hong Kong
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Page 8 of 8, Hong Kong Section 2017 Chief Officers Petition Signature Form
Signature