here - The Insurance Institute of Ireland
Nomination Form for the Office of Honorary Secretary 2015/2016 Form of Nomination of a candidate for election to Local Council at the Annual General Meeting to be held on 16 April at 5.00pm in the Radisson Blu, Ballincar, Rosses Point, Sligo Name of Nominee _____________________________________________________________ State Insurance Qualifications Held ________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ III Membership Number ______________________________________________________ Signature of Nominee _____________________________________________________________ Proposer ______________________________________________________ Proposer Signature ______________________________________________________ III Membership Number ______________________________________________________ Seconder ______________________________________________________ Seconder Signature ______________________________________________________ III Membership Number ______________________________________________________ Note: Any candidate for election to Local Council must be nominated in writing by two current members of the Local Council. Such two members of the Local Council may nominate more than one nominee. A separate Nomination Form must be used for each nominee. This form must be completed and returned to the Local Institute Honorary Secretary before close of business on 1 April 2015. Ms Mairead Mullins, Honorary Secretary The Insurance Institute of Sligo Address: Allianz Plc, The Glen, Mountcharles, Co Donegal Email: mairead.mullins@allianz.ie Nomination Form for the Office of Honorary Treasurer 2015/2016 Form of Nomination of a candidate for election to Local Council at the Annual General Meeting to be held on 16 April at 5.00pm in the Radisson Blu, Ballincar, Rosses Point, Sligo Name of Nominee _____________________________________________________________ State Insurance Qualifications Held ________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ III Membership Number ______________________________________________________ Signature of Nominee _____________________________________________________________ Proposer _______________________________________________________ Proposer Signature _______________________________________________________ III Membership Number _______________________________________________________ Seconder _______________________________________________________ Seconder Signature _______________________________________________________ III Membership Number _______________________________________________________ Note: Any candidate for election to Local Council must be nominated in writing by two current members of the Local Council. Such two members of the Local Council may nominate more than one nominee. A separate Nomination Form must be used for each nominee. This form must be completed and returned to the Local Institute Honorary Secretary before close of business on 1 April 2015. Ms Mairead Mullins, Honorary Secretary The Insurance Institute of Sligo Address: Allianz Plc, The Glen, Mountcharles, Co Donegal Email: mairead.mullins@allianz.ie Nomination Form for the Office of _______________________ 1 2015/2016 Form of Nomination of a candidate for election to Local Council at the Annual General Meeting to be held on 16 April at 5.00pm in the Radisson Blu, Ballincar, Rosses Point, Sligo Name of Nominee _____________________________________________________________ State Insurance Qualifications Held ________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ III Membership Number ______________________________________________________ Signature of Nominee _____________________________________________________________ Proposer _______________________________________________________ Proposer Signature _______________________________________________________ III Membership Number _______________________________________________________ Seconder _______________________________________________________ Seconder Signature _______________________________________________________ III Membership Number _______________________________________________________ Note: Any candidate for election to Local Council must be nominated in writing by two current members of the Local Council. Such two members of the Local Council may nominate more than one nominee. A separate Nomination Form must be used for each nominee. This form must be completed and returned to the Local Institute Honorary Secretary before close of business on 1 April 2015. Ms Mairead Mullins, Honorary Secretary The Insurance Institute of Sligo Address: Allianz Plc, The Glen, Mountcharles, Co Donegal Email: mairead.mullins@allianz.ie 1 Use this form for other Officers (e.g. CPD Officer, Education Officer etc) Nomination Form for Representatives of Members 2015/2016 Form of Nomination of a candidate for election to Local Council at the Annual General Meeting to be held on 16 April at 5.00pm in the Radisson Blu, Ballincar, Rosses Point, Sligo Name of Nominee ________________________________________________________ State Insurance Qualifications Held ______________________________________ _________________________________________________________________________ _________________________________________________________________________ III Membership Number __________________________________________________ Signature of Nominee __________________________________________________ Proposer __________________________________________________ Proposer Signature __________________________________________________ III Membership Number __________________________________________________ Seconder __________________________________________________ Seconder Signature __________________________________________________ III Membership Number __________________________________________________ Note: Any candidate for election to Local Council must be nominated in writing by two current members of the Local Council. Such two members of the Local Council may nominate more than one nominee. A separate Nomination Form must be used for each nominee. This form must be completed and returned to the Local Institute Honorary Secretary before close of business on 1 April 2015. Ms Mairead Mullins, Honorary Secretary The Insurance Institute of Sligo Address: Allianz Plc, The Glen, Mountcharles, Co Donegal Email: mairead.mullins@allianz.ie
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