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

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* Nominee name

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* Nominee email

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* Nominee phone number

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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

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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

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