Nomination Form of Candidates for the ILGA Asia Executive Board by Full Member Organizations

Deadline for sending this form: Monday, 3rd June 2019

This form must be filled in and signed by a legal representative of a full member organisation submitting the nomination or by a person delegated officially to this task by the member organisation.

All candidates standing for election for ILGA Asia Executive Board must be from an ILGA full member organisation, but they do not have to be from the organization nominating them.

If you are nominating someone, please ensure that you have the person’s consent to be nominated and that their organisation also consents for them to be nominated.

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* 1. Name of the person being nominated:

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* 2. Member organisation the nominee is from:

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* 3. Email of the nominee’s member organisation:

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* 4. Position that the nominee is being nominated for:

Sub-regional representative

Intersex representative

Trans representative

Youth representative

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* 5. Name of the organisation submitting the above nomination:

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* 6. Name of the person completing and signing this form:

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* 7. Position in the organisation:

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* 8. Email:

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* 9. Telephone Number:

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* 10. I testify that I am the representative of the ILGA Member Organisation submitting this Nomination. I will be able to confirm should ILGA Asia office get in touch with me, and acknowledge that this Nomination will be disqualified otherwise.

Yes