Committee Nomination Form
Self-Nomination Form for Committee Membership
I hereby wish to nominate for the following position on the Skal International Perth 250 Committee.
| Your Details | |
| Surname | |
| Given Name | |
| Membership Number | |
| Signature | |
| Date |
|
| Details of the Member supporting your nomination | |
| Full Name |
|
| Membership Number | |
| Position | Initial against the position for which you wish to nominate. |
| You can only nominate for one position | |
| President (1 position) | |
| Vice President (1 position) | |
| Treasurer (1 position) | |
| Secretary (1 position) | |
| General Committee Member (Min 2) | |
By nominating, and signing below I confirm that I am not excluded from being a committee member under the Associations Incorporations Act 2016 (WA) by virtue of:
- being bankrupt or my affairs are under insolvency laws;
- been convicted of an indictable offence in relation to the formation or management of a body corporate in the last 5 years;
- been convicted of an offence involving fraud or dishonesty punishable by at least 3 months imprisonment in the last 5 years;
- been convicted of an offence under the Act, where a person has allowed an association to operate while insolvent in the last 5 years
Please complete and sign the form and return to either
By Post: Attn: Secretary, Skal International Perth, C/O Travellers Choice
Ground Floor, 130 Royal Street East Perth, WA 6004 Australia
In Person: To an existing committee member
By Email: michael@cfglobal.com.au