NEW SOUTH WALES DIAGNOSTIC AND INTERVENTIONAL
CARDIOLOGY NURSES GROUP
ANNUAL GENERAL MEETING
NOMINATION FORM
I ..................................................................of .............................................
(print full name)
(hospital)
being a member of the above group and ......................................................
(print full name)
of ......................................................................... also being a member of
(hospital)
the above group would like to nominate the following NUM
................................................................. of ...............................................
(print full name)
(hospital)
for the position of .......................................................................................
(President, Vice-President, Secretary, Treasurer, Education officer, Committee member)
We would like to nominated this person for the following reasons
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Nominated by .........................................
(Name)
Seconded by ..............................………
(Name)
…………………………..
(signature)
…………………………..
(signature)
I accept this nomination .................................................Date .....................
(signature)
_________________________________________________________________________________________________________
Received by the Secretary .............................................................................. Date ................................. .......................................