Formulir Usulan Club / Club Proposal for

ANGGOTA NOMINATING KOMITE

Pemilihan DGN D-3420 RY 2021-2022
MEMBER of the NOMINATING COMMITTEE
for DGN D-3420 RY 2021-2022 Election

Nama / Name of Rotary Club Anging Mammiri & Rotary Club Makassar
dari daerah pemilihan (pilih sesuai daerahnya)
from Area (Tick on your area )
(__) 1. JAWA TENGAH/CENTRAL JAVA
(__) 2. JAWA TIMUR/EAST JAVA
(__) 3. BALI & LOMBOK
( * ) 4. EAST INDONESIA (Makassar/Kupang/Papua)
Kami telah merundingkan dalam Join Club Assembly yang diadakan pada:
We have discussed at the Club Assembly held on:
Tanggal: 17 Nopember 2018 jam: 17.00 di: Makassar
Date time: at:
dimana club telah menyetujui dengan suara terbanyak dari 6 (Enam)
anggota yang hadir untuk mengajukan calon anggota DGND Nominating
Committee
with the agreement of the majority of 6 (six) members present, the club has
decided to submit the name of candidate as member of DGN Nominating
Committee from our area :
Nama / Name : Mansjur Nasir, PP
Dari/from Rotary Club : Makassar
Tandatangan / Signature

President President
Rotary Club of Anging Mammiri Rotary Club of Makassar
Name: Andi Muhammad Redo Imran Razak

Tanggal / Date: 17 Nopember 2018

 Formulir Usulan ini harus dikirimkan ke District Governor melalui email dengan subject “CALON ANGGOTA
NOMINATING COMMITTEE” kepada
DG I WAYAN SURYAWAN (suryawan008@yahoo.com) selambat- lambatnya SABTU tgl 17 November 2018.
 This proposal must be submitted to the District Governor by email with the subject of “CANDIDATE OF THE
NOMINATING COMMITTEE” to DG I WAYAN SURYAWAN (suryawan008@yahoo.com) , no later than
th
SATURDAY November 17 2018.

FILE DISTRICT ADMINISTRATION 2018-2019