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					                                                                            IUBS nomination form 2012




                    INTERNATIONAL UNION OF BIOLOGICAL SCIENCES

   NOMINATION FORM FOR THE ELECTION OF THE OFFICERS AND EXECUTIVE
          COMMITTEE MEMBERS AT THE 31ST GENERAL ASSEMBLY


Nomination submitted by :


           National Member :
           Scientific Member:


Representative of IUBS member submitting the nomination:
     Name:
        Position:
        Signature:


        Date:


We hereby nominate

        Name of the candidate :

        For the post of :

   President   Vice-President Secretary General                       Treasurer
   Executive Committee Member

Candidate’s agreement : I hereby agree to serve and attend IUBS meetings if
elected


Signature of the candidate



Date:




                    Send back to nfomproix@iubs.org before 5th April 2012                           1/3
                                                                            IUBS nomination form 2012



              BIOGRAPHICAL DETAILS OF THE CANDIDATE NOMINATED:


First name:
Last Name:
Gender:
Date of Birth:
Nationality:
Current position:
E-mail address:
Post address:
Scientific field:
Professional positions held with dates (maximum 15 lines):
IUBS positions held with dates or affiliated bodies (maximum 15 lines):
Professional membership and/or awards (maximum 15 lines):
   Please tick here if full curriculum vitae (maximum 3 pages)




                    Send back to nfomproix@iubs.org before 5th April 2012                           2/3
                                                                       IUBS nomination form 2012



                             CANDIDATE STATEMENT

Short statement (1page or less) on your vision for your role in IUBS during the
next term, expected commitment to IUBS, time available…




               Send back to nfomproix@iubs.org before 5th April 2012                           3/3

				
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