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					                 AUS COMMITTEES - NOMINATION FORM

     Sport Disputes Committees
     Sport Disputes Appeals Committee
     Disciplinary Committee




NAME: _________________________________________________

UNIVERSITY: ___________________________________________

POSITION: _____________________________________________

MOBILE NUMBER: _______________________________________

ACCOMMODATION: ______________________________________

AVAILABILITY:
SUN      MON                            TUE          WED

SPORTS KNOWLEDGE (e.g. Touch, Water Polo, Beach Volleyball)
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________




                      Please forward to the Games office - Fax: (07) 3876 2620
                      Email: paul.sutcliffe@unisport.com.au (preferred method)




2009 NORTHERN UNIVERSITY GAMES                                    AUSTRALIAN UNIVERSITY SPORT
Suite 1.12 Sports House                                           Suite 1.12 Sports House
150 Caxton Street                                                 150 Caxton Street
Milton QLD 4064                                                   Milton QLD 4064
Phone: 07 3876 2610 ext 19                                        Telephone: 07 3876 2610
Fax: 07 3876 2620                                                 Facsimile: 07 3876 2620
Mobile: 0422 117 884                                              Email: aus@unisport.com.au
Email: paul.sutcliffe@unisport.com.au                             Website: www.unisport.com.au
Web: www.unigames.com.au

				
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