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NOMINATION FORM                                                            EXECUTIVE POSTS



  Full name of candidate: _______________________

  Full course name and year: _______________________________

  ID Card Number: ____________ Age: _______

  Contact Number: _________ E-mail address:___________________

  Address: ______________________________________________

 PROPONENT INFORMATION

 Full name of the proponent: ____________________

 Full course name and year: _______________________________

 ID Card Number: _____________

 Contact Number: ______________ E-mail address: __________________

 SIGNATURE:                                              DATE: ___________



 SECONDANT INFORMATION

 Full name of the proponent: __________ ____________

 Full course name and year: _________________________ _

 ID Card Number: _____________

 Contact Number: _________ E-mail address:________________________

 SIGNATURE:                                              DATE: _____________


                                            Guidelines

Candidate must be an MHSA delegate while the proponent and secondant must be MHSA members/
  students of the Faculty of Health Sciences. Applications may be accepted or rejected according to
 the Articles of the MHSA statute. Nominations should be sent to the Secretary General, preferably
                     by hand, not more than 3 days after the call of applications.



SECRETARY GENERAL OF THE MHSA:                                       DATE RECIEVED:

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MHSA nomination form (EB elections)

  • 1. NOMINATION FORM EXECUTIVE POSTS Full name of candidate: _______________________ Full course name and year: _______________________________ ID Card Number: ____________ Age: _______ Contact Number: _________ E-mail address:___________________ Address: ______________________________________________ PROPONENT INFORMATION Full name of the proponent: ____________________ Full course name and year: _______________________________ ID Card Number: _____________ Contact Number: ______________ E-mail address: __________________ SIGNATURE: DATE: ___________ SECONDANT INFORMATION Full name of the proponent: __________ ____________ Full course name and year: _________________________ _ ID Card Number: _____________ Contact Number: _________ E-mail address:________________________ SIGNATURE: DATE: _____________ Guidelines Candidate must be an MHSA delegate while the proponent and secondant must be MHSA members/ students of the Faculty of Health Sciences. Applications may be accepted or rejected according to the Articles of the MHSA statute. Nominations should be sent to the Secretary General, preferably by hand, not more than 3 days after the call of applications. SECRETARY GENERAL OF THE MHSA: DATE RECIEVED: