Nomination Form for the Year – 2019

Download Nomination Form – 2019

Election for the posts of Secretary Committee Member

Post for which nomination is being filed*

Name of the candidate*

Membership No*

Address*

Tel. No.

ISD + STD + Phone Number

Mobile. No.*

ISD + Mobile Number

E-mail ID*:

Brief Biodata of the Candidate (100 words only attach a sheet if necessary)*

Upload Biodata*:

Format: gif, png, jpg, jpeg, doc, docx, pdf

Proposed by

Name & Address*

Phone No:

ISD + STD + Phone Number

Mobile. No.*

ISD + Mobile Number

Email ID*:

Upload Signature*:

Seconded by

Name & Address*

Phone No:

ISD + STD + Phone Number

Mobile. No.*

ISD + Mobile Number

Email ID*:

Upload Signature*:

Declaration by the Candidate
I hereby declare that I am willing to contest for the post of If elected, I shall serve the Executive Committee in accordance with the constitution and the by-laws of the IACTS. I further declare that I do not have any disqualification to contest the election.

 

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