NOMINATION FORM 2015 The Board considers it desirable that at on an annual basis there should be an election of at least one of the Elected Directors. This helps manage an opportunity for an orderly turnover of the Board. Dr Kevin Wong has offered to resign effective end of the AGM. Kevin is eligible to be re-elected. The Constitution provides that: (8.6) “At each annual general meeting, the Board must hold an election … to fill any Vacancy that has arisen or that will arise….” The Constitution specifies that: (8.3.b) “Elected Directors should bring specific skills to the Board through….” Constitution available www.gpnn.org.au Please note  only financial members are eligible to stand for election  only financial members are eligible to nominate candidates for election  only financial members are eligible second candidates for election We, the undersigned, hereby nominate _____________________________ (print name of nominee), for election as a Director at the Annual General Meeting to be held on Wednesday 13 May 2015 Nominated by Seconded by Name ________________________________ Name ________________________________ Address ________________________________ Signature ________________________________ Address ________________________________ Signature ________________________________ Date _____/_____/_____ Date _____/_____/_____ NOMINEE TO COMPLETE: I consent to the nomination for Hornsby Ku-ring-gai Ryde Division of General Practice Board Director Name: ________________________________________________________________ Address: ______________________________________________________________ Signature: __________________________________ Date _____/_____/______ NOTE: Please return nomination form with a 1 page CV outlining experience and qualifications. These summaries will then be circulated to the Members with the ballot paper if required Completed Nomination Forms must be received no later than 5pm Monday 4th May 2015 Email only to admin@gpnn org.au | GO1/10 Edgeworth David Ave Hornsby NSW 2077 M 0416261237| E admin@gpnn.org.au| www.gpnn.org.au | ABN 13 062 013 343 April 2015 Page 1 of 1