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Area Representative Applicarion

Name of Nominee (your name)(Required)
Head Shot photo (if you can)
Accepted file types: jpg, jpeg, png, gif.
We need a photo to help us identify you to your members on our website. This is not mandatory and can be forwarded at a later date.

Proposer

Nominations are from your Union Area
Name - Proposer(Required)
Consent(Required)

Seconder

Seconder Name(Required)
Consent(Required)

Declaration

Consent(Required)