NOMINATION FORM

FOR POSITION OF

INDEPENDENT COMMISSIONER

OF

FOOTBALL NETBALL EAST GIPPSLAND INC.

2010 - 2011. (One-year term.)

I, ________________________________________________________________, of

    (name)

__________________________________________________________________ desire to become

(address)

An Independent Commissioner of Football Netball East Gippsland Inc. for 2010 – 2011 (One year term).

In the event of my election as An Independent Commissioner, I agree to be bound by the Rules of Football Netball East Gippsland Inc. for the time being in force.

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Signature of Applicant

Date: _____________________

I, __________________________________________________ , a member of Football Netball East Gippsland Inc. nominate the applicant, who is personally known to me, for the position of an Independent Commissioner of Football Netball East Gippsland Inc. for a one year term (2010 - 2011).

________________________________________________________________

Signature of Proposer

Date: ____________________

I, __________________________________________________  , a member of Football Netball East Gippsland Inc., second the nomination of the applicant, who is personally known to me, for the position of an Independent Commissioner of Football Netball East Gippsland Inc. for a one year term (2010-2011).

________________________________________________________________

Signature of Seconder

Date: ___________________