NOMINATION FORM

Election of One Academic Employee on Council

(Conducted in terms of the MUT Statute)
Name of Nominee: _______________________Staff Number ___________
Names of Nominators:
1)________________________Staff No. _______Signature______________
2)________________________Staff No. _______Signature______________
3)________________________Staff No. _______Signature______________
4)________________________Staff No. _______Signature______________
5)________________________Staff No. _______Signature______________
6)________________________Staff No. _______Signature______________
7)________________________Staff No. _______Signature______________
8)________________________Staff No. _______Signature______________
9)________________________Staff No. _______Signature______________
10)_______________________Staff No. _______Signature______________
I hereby accept the Nomination.
Signature: ____________________________________
Date: _____________
Closing date for nominations: Tuesday, 17 May 2016