NOMINATION FORM: MEMBERS OF THE CONVOCATION EXECUTIVE COMMITTEE Nomination by eligible members of the Convocation as defined in clauses 69.1 and 69.2 of the CPUT Statute for the designation of two (2) full-time Academic Employees as contemplated in clause 17.3.4 of the Convocation Constitution DETAILS OF NOMINEE SURNAME: STAFF NUMBER:
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COMPANY/ORGANISATION: CONTACT DETAILS: Email address Address Cell Number DETAILS OF NOMINATOR SURNAME: STAFF NUMBER: COMPANY/ORGANISATION: CONTACT DETAILS: Email address Address Cell Number
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