Name of Candidate Student No Positions Contested UOW Email uoweduau Phone No Mailing Address I declare that I satisfy the eligibility criteria as defined in Section 512 of the WUPA Electoral Reg ID: 877711
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1 See over page for Candidate Statement in
See over page for Candidate Statement information WUPA ELECTION NOMINATION FORM Name of Candidate: ................................................................. Student No: ............................. Position(s) Contested: ........................................................................................................ UOW Email: .................................. @uow.edu.au Phone No: .................................................. Mailing Address: ............................................................................................................. .............................................................................................................................. I declare that I satisfy the eligibility criteria as defined in Section 5.1.2 of the WUPA Electoral Regulations. I agree to act in accordance with WUPAs Constitution and policies in the position if elected, and to abide by the electoral regulations. If elected in the position contested, I will perform the duties of the position to the best of my ability. Signature: ................................................................................ Date: ............................ First Nominator: ...................................................................... Student No: .......................... Email: .Contact Number (optional) .. Signature: ................................................................................ Date: ............................ Second Nominator: .................................................................. Student No: ............................. Email: .Co
2 ntact Number (optional) .. Si
ntact Number (optional) .. Signature: ................................................................................ Date: ............................ This form must be signed by the candidate and two other postgraduate or discrete Honours students of the University of Wollongong as defined in the WUPA Electoral Regulations. A candidate may supply a candidate statement of three hundred words or less, and a provide head and shoulders only photograph of themselves in tif or jpeg format only, to be published in official election publications. This material must be submitted to the Returning Officer or a Deputy Returning Officer by close of nominations. The WUPA Constitution and electoral regulationsof the Association are available from elections website. PART 2 CANDIDATE INFORMATION Each candidate should supply biographical information and an election statement (in total up to 300 words). This information will be supplied to each voter and will be posted on the Elections Website. Candidates are asked to complete the following form and arrange for its return, together with the nomination form, to a Deputy Returning Officer, Policy and Governance Unit, Academic Registrars Division, Administration Building 36, University of Wollongong 2522, or the Returning Officer at warren@uow.edu.au no later than pm on Thursday, 13 September 2012 ADDITIONAL CANDIDATE INFORMATION Surname (Block Letters) Other Names Biographical Information Election Statement Candidate Statements and information will be reproduced focorrection. Note: Candidates should ensure that photos are supported by suitable the candidate (eg Student ID number and Full Name)