Midland Branch
Executive Committee -
Elections 2010 nomination form
If you want to stand or propose someone for election to the
MIDLAND BRANCH Executive at the AGM on Thursday 6th May 2010 at
Hollyfields Centre, Erdington, Birmingham B24 0JT - please
fill in this form and send it to the Midland Branch Secretary at
the address below (please use capital letters).
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Position;
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(Chair, vice-chair, branch secretary, programme secretary,
treasurer, shadow positions, executive member, web champion, two
auditors). Note - The chair and vice chair must be IOSH
corporate/chartered members (Reg 15)
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Name of nominee;
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Signature of nominee;
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IOSH membership number;
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Membership grade;
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Name of proposer;
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Signature of proposer;
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IOSH membership number;
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Membership grade;
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Name of seconder;
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Signature of seconder;
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IOSH membership number;
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Membership grade;
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Please return this form to the Branch Secretary by Friday 30th
April 2010 to:-
IOSH Midland Branch c/o 23
Wallescote Drive , Solihull B91 3YN.
If you'd like to discuss what's involved or need more
information, please contact
Ralph Weaver, IOSH Midland Branch Chair,
Tel: 0781 736 6148
Email r.weaver@netmatters.co.uk
Or contact through branches@IOSH.co.uk