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Nomination for Committee Member

Applicants Details
Name:

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ID No.:

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Locality:

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Mobile:

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email:

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Membership No.:

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Tel.:

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Applicants Declaration
I, the undersigned, hereby apply to join Kaccaturi San Ubertu (KSU) committee. I declare that I have a clean Police Criminal
Record and agree and accept that: A) I shall abide by the KSU Statute, code of conduct and any other policies established by the
Committee from time to time. B) I shall abide by all legislation and laws governing hunting and Maltese legislation. C) I shall adhere
to the Data Protection Act and other laws governing the use of personal details. D) I shall keep all information confidential.
Signature:

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Date:

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Proposer
I, the undersigned member of KSU, declare that the applicant is known to me as a reliable hunter of sound moral character.
Name:

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Date:

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Signature:

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Membership:

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Seconder
I, the undersigned member of KSU, second the above applicant known to me as a reliable hunter of sound moral character.
Name:

____________________________________________________

Date:

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Signature:

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Membership:

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Nomination
I, the undersigned member of KSU, would like to apply for the following post in the KSU committee
Name:

____________________________________________________

Post:

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For official use only


Received Date

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Signature

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Aliki, Mosta Fort Road, San Pawl tat-Targa, NXR 2303, Malta
Tel: (+356) 99423212, (+356) 21418809 | email: kaccaturisanubertu@gmail.com
www.facebook.com/KaccaturiSanUbertu