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: