This form must be read in conjunction with the Board of Directors Information Sheet

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* Given Names:

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* Surname:

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* Former Names:

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* Date and Place of Birth

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* Address:

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* Email Address:

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* Contact Number:

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* Upload CV:

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* Upload Candidate Statement:

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If appointed:


I consent to act as a Director of Rangelands NRM Coordinating Group Inc., in accordance with the Australian Charities and Not for Profit Commission regulations.

  • I agree to sign a Statutory Declaration declaring that;
    • The CV provided is a true and correct copy of my credentials and qualifications;
    • I will attain a current police clearance;
    • I am not bankrupt.
  • I am unaware of any reason that would impact on my ability to be a Director of Rangelands NRM Coordinating Group Inc.
  • I will undertake to fulfil duties and obligations required of the position.

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* Print name:

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* Date:

Date
Time
The nomination must be received by no later than 5:00pm (AWST) on 20th September 2021.

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