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* 1. Please provide your full name

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* 2. Please provide your preferred email address

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* 3. Please provide your preferred mobile number

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* 4. Please select the Committee Position for which you are applying

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* 5. Why are you interested in being a member of the NSW Jurisdictional Committee?

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* 6. What experience/expertise/value can you bring to the Committee? Please provide some specific examples which relate to this position.

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* 7. What do you hope to achieve as a member of the NSW Committee?

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