ROYAL AUSTRALASIAN COLLEGE OF DENTAL SURGEONS INC

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					ROYAL AUSTRALASIAN COLLEGE OF DENTAL SURGEONS INC
ABN 97 343 369 579 Lev 6, 64 Castlereagh Street, Sydney NSW 2000 Australia TEL: +61 (02) 9232 3800; Fax: +61 (02) 9221 8108; Email: executivedirector@racds.org ELECTION OF TRAINEES TO COMMITTEES OF THE BOARD OF STUDIES FOR ORAL AND MAXILLOFACIAL SURGERY FOR 2005-2007
PLEASE READ INSTRUCTIONS BELOW FOR EACH OF THE COMMITTEES BELOW, YOU MUST VOTE FOR ONE (1) AND 1 ONLY OF THE CANDIDATES BY DRAWING A LINE THROUGH THE NAMES OF THE CANDIDATES FOR WHOM YOU DO NOT WISH TO VOTE. THERE IS ONE (1) POSITION IN TOTAL TO BE FILLED ON EACH COMMITTEE BY ELECTION OF TRAINEES.

VOTING PAPER
1. Basic Surgical Training Committee Patrishia Bordbar Benjamin G Grave Sophie Mougos Anthony P Naim Khaled Zoud 2. Examinations Committee Nova S H Gibson Benjamin G Grave James B McGown Sophie Mougos Anthony P Naim Khaled Zoud 3. Education Committee please vote for one (1) candidate only please vote for one (1) candidate only please vote for one (1) candidate only

Nova S H Gibson Benjamin G Grave James B McGown Sophie Mougos Anthony P Naim Khaled Zoud
PLEASE READ INSTRUCTIONS BELOW YOUR VOTING PAPER MUST BE SIGNED AND FORWARDED OR DELIVERED PERSONALLY TO THE EXECUTIVE DIRECTOR, RACDS, AT THE ADDRESS ABOVE TO ARRIVE BEFORE 5 pm, TUESDAY 6 SEPTEMBER 2005

............................................................................................................................................... Trainee’s Name
(BLOCK LETTERS)

...........................................................................................................................................................Address I declare that I have not previously voted in this election …...............................................Trainee’s Signature
[Ref: oms / Committees 05 07 trainee ballot ppr]