[Name] Address: Phone (mob): Phone (home): Email: Describe your experience within Australian plant based industries: Why are you interested in being a member of the RIRDC new and Developing Plant Industries Advisory Committee? Skills/knowledge/experience/focus relevant to the Committee include: a broad sector wide view, commercial – industry experience (from paddock to plate), governance, market and economic analysis, regional development, research, supply chains. What do you think you could bring to the Committee? Please list any referees or industry support for your appointment: Please attach your CV (no more than three pages) to this template. Page 1