Nominee Details

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I confirm that I am willing, if elected, to serve on RSUA Council as President-Elect during the 2025/26 year and as President during the 2026/27 and 2027/28 years (Required.)

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Nominee name (Required.)

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Nominee email (Required.)

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Nominee phone number (Required.)

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Nominee home address

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Nominee date of birth

Date

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Nominee Honours, Degree, Affixes

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Name and address of organisations where nominee is currently employed

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This nomination is supported by the following 15 members of RSUA (Required.)

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I confirm that the RSUA members listed above have given their permission to have their details included on this nomination form (Required.)

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