Nomination Form for Individual Member Candidates

TO BE SUBMITTED TO THE SOCIETY BY 5pm on 14 JUNE 2024

NB.  Candidates must be fully paid-up individual Members of the Society at time of nomination

Name
Membership Number
Address
Postcode
Telephone Number
Email Address

Please note your contact details will not be published as part of the board election process. If elected, your address may be made public on the register of directors maintained by the Financial Conduct Authority.

Why do you want to be a director? It’s useful here to describe your skills, experience and qualifications (if any) and your particular interest in the Society. (Max 250 words). This section will be published as part of the election process

Please tick to confirm the following:

*
Required

Name of proposer

Shareholder number of proposer
Address of Proposer
Email of Proposer

 If a proposer or seconder is not online, a telephone number may be inserted here.

Name of Seconder

Shareholder number of Seconder
Address of Seconder
Email of Seconder

 If a proposer or seconder is not online, a telephone number may be inserted here.

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