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hyderabad centre election - IETE

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Appendix –ATHE INSTITUTION OF ELECTRONICS AND TELECOMMUNICATION ENGINEERSNOMINATION FOR <strong>IETE</strong> HYDERABAD CENTREEXECUTIVE COMMITTEE ELECTION 2010-2012FOR CHAIRMAN / HONORARY SECRETARY / HONORARY TREASURER / MEMBER*(use separate nominations for each office bearer/members)I, hereby nominate, Name:________________________________________ for the Chairman /Hony Secretary / Hony. Treasurer / Member (strike out which ever is not applicable) of the HyderabadCentre Executive Committee for the year(s) 2010 - 2012I also declare that I have not nominated more than number of declared vacancies.Class & Membership No. _____________________________________ Signature _____________Name _____________________________________________________ Date__________________Declaration by the nomineeI, __________________________________ agree to accept, if elected, to the office of Chairman /Hony Secretary / Hony. Treasurer / Member (strike out which ever is not applicable) of the ExecutiveCommittee of Hyderabad Centre for the year(s) 2010-2012 only.I further declare that: -(a) I have not been nominated for more than one post (Chairman / Hony Secretary / Hony. Treasurer/ Member) for the <strong>election</strong> of the <strong>IETE</strong> Hyderabad Centre.(b) In the event of my <strong>election</strong> to the Executive Committee, I hereby confirm that I will devotereasonable amount of time towards the activities of the Centre during my tenure as OfficeBearer/member of the Executive Committee.I ____________________________, _________________ of <strong>IETE</strong> (name & class), with MembershipNo.______________ declare that I have / not served as Member / Office Bearer of the EC of___________________ Centre from __________ to __________ as ________________ and from_____________ to ___________ as _______________ (add or delete as required)I am a Corporate Member of the <strong>IETE</strong> in good standing as on 30 th Sep 2009.Class and Membership NoFull NameAddressPhone No.(Off & Res.)FaxE-Mail:: __________________________ Signature __________: _____________________________________________: _______________________________________________________________________________________________________________________________________: _____________________________________________: _____________________________________________:______________________________________________

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