NRC – LS – ELECTIONS 2018

NOMINATION FORM

The following NRC-LS Regular Members nominate:

Candidate’s name (print):

as (Group Executive title):

Nominations must be supported by at least two (2) members of the Group:

1. (Name Please Print)  Bldg:   Tel.  Date:                       Signature

2. (Name Please Print)  Bldg:   Tel.  Date:                       Signature

I, Candidate’s name (print)  , hereby accept the nomination.

Candidate’s signature

Candidate’s building     Work Tel:  Date:  

Nomination forms must be received no later than October 29, 2018 at 4:00 pm (Ottawa time) by email to group_elections@pipsc.ca or fax to (c/o Pierre Ouellet) 613-228-9048 or 1-800-465-7477.