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Disability Services Unit
Student & Academic Services (SAS)
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Council Nomination Form

If you are nominating yourself for election to the Council of Management for DEAN, please complete the first part of the form ONLY. If you are nominating someone else, the nomination must be signed in Part 2, accepting the nomination

Part 1. I hereby nominate

___________________________________________________________
to the Council of Management for the Disability Education Association of NSW/ACT Inc, representing the following sector (mark one only):

TAFE University RDLOs/DCOs

Position Held: ________________________________________________________________


__________________________________ _____ / _____ / ____
(Signature of Nominator) (Date)

__________________________________
(Print Name)

I certify that I am a member DEAN Inc.

Part 2. I hereby accept the above Nomination:

__________________________________ _____ / _____ / ____
(Signature of Nominee) (Date)

__________________________________
(Print Name)

I certify that I am a member DEAN Inc.

Please return this form to:
The Returning Officer,
DEAN Inc.
PO Box 1045
MEADOWBANK, NSW 2105 or by email to: Reshad.Heckbarally@det.nsw.edu.au or
by Fax to: (02) 4221 8907

by Wednesday, 22nd September, 2006. Nominations will also be accepted at the AGM on 27th September.

DEAN Form