PLAN_Janvier-février_2012 - Ordre des ingénieurs du Québec

GENERAL ELECTIONS 2012
Nomination paper for election of a director
in the_________________________________________ region
I, the undersigned, ____________________________, having my personal domicile in the _____________________
electoral region since (date) ____________________, being duly supported in the nomination paper hereabove, file
my candidacy as director for that region.
Furthermore, I agree to respect the Code de bonne conduite des candidats lors des élections au Conseil d’administration
de l’Ordre des ingénieurs du Québec, which has been published as appendix XII available only in the French version of the
regulation named Règlement sur les élections au Conseil d’administration de l’Ordre des ingénieurs du Québec.
Please find enclosed herewith: (mandatory)
– a recent photograph (color photography, high-definition, passport size);
– a brief summary and an outline of my objectives (the summary, written in one or several languages, may not exceed a
total of 400 words).
In witness whereof, I have signed at _____________________________ this _________ day of ________________ 2012.
___________________________________________________
Signature and member number
We, undersigned, members in rule of the Ordre des ingénieurs du Québec, having our personal domicile in the electoral region of
the candidate, hereby support the candidate for the next election of directorships of the Ordre des ingénieurs du Québec,
Member’s name
(endorsers)
Member’s no.
Date
Member’s Signature
(endorsers)
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