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					        Australian Jewish Historical Society - Victoria Inc
                    Registration No. A0018216A                              ABN 46 921 664 051


                         POSTAL ADDRESS:         P O BOX 8420   ARMADALE VIC 3143
_______________________________________________________________________________________________________

                                       NOMINATION FORM
      Nominations must be made on the form below, and must be signed by the Proposer
      [1], the Seconder [2] and the Nominee [3], who must all be financial members of
      the AJHS – Victoria Inc. Completed forms should be returned to the Honorary
      Secretary prior to the AGM.


                                            Cut here and return to:

                                      Mrs Liz James, Hon Secretary,
                                Australian Jewish Historical Society (Vic)
                                             PO BOX 8420
                                        Armadale Victoria 3143




      [1]    I hereby nominate (please print): ………………………………………………
             to membership of the committee of the AJHS – Victoria Inc.

             Name of proposer          (please print):   …………………………………………………

             Signature: …………………………… Date: ……………………………………

      [2]    I second the above nomination:

             Name of seconder         (please print):    …………………………………………………

             Signature: …………………………… Date:                             …………………………………

      [3]    I agree to the nomination:

             Signature: …………………………… Date: …………………………………

				
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