THE INSTITUTION OF FIRE ENGINEERS

IFERG Representative, IFE Board of Directors

Candidate’s Details

1.Surname:Given Names:

2.IFE Membership Qualifications (in date order):

3.Membership of Branches and Branch Positions Held (in date order):

4.Institution Positions Held (in date order):

5.Other IFE Involvement (max 100 words):

6.Fire Engineering Involvement (other than IFE, max 100 words):

7.Current Professional Appointment:

8.Please provide in not more than 300 wordsan expression as to why you wish to be

elected to the position of IFERG Director on the Board of Directors and what you see as your contribution in the event that you are elected.

THE INSTITUTION OF FIRE ENGINEERS

Proposer’s Statement

I, THE UNDERSIGNED, HEREBY PROPOSE THE NOMINATION OF

(State name, membership grade, and current professional appointment)

as a candidate for election to the position of IFERG Director on the Board of Directors of the Institution of Fire Engineers

(Proposer’s signature and grade)______

(Proposer’s full name in BLOCK CAPITALS)______

Seconders’ Statements

WE, THE UNDERSIGNED, HEREBY SECOND THE NOMINATION OF

(State name, membership grade, and current professional appointment)

as a candidate for election to the position of IFERG Director on the Board of Directors of the Institution of Fire Engineers

(Seconder’s signature and grade)(1) ______

(Seconder’s signature and grade)(2) ______

(Seconders’ full names in BLOCK CAPITALS)

(1)______

(2)______

THE INSTITUTION OF FIRE ENGINEERS

Supporters’ Statements

WE, THE UNDERSIGNED, HEREBY SUPPORT THE NOMINATION OF

(State name, membership grade, and current professional appointment)

as a candidate for election to the position of IFERG Director on the Board of Directors of the Institution of Fire Engineers

Supporters’ signatures and membership grades Supporters’ full names in BLOCK CAPITALS

1______

2______

3______

I HEREBY ACCEPT the above nomination as a candidate for election to the position of IFERG Director on the Board of Directors of the Institution of Fire Engineers

Signature of NomineeDate

Please send this completed form to:

CEO & Company Secretary

The Institution of Fire Engineers

IFE House

64-66 Cygnet Court

Timothy’s Bridge Road

Stratford-upon-Avon, CV37 9NW, UK

Completed forms must be received at the above address no later than 12:00 noon on Friday 1st April 2016

NOTES

  1. The Proposer, Seconder and Supporters must be registrant members of the Institution.
  2. The Candidate must sign the form (page 3) to accept the nomination.
  3. Further guidance can be sought by contacting the Company Secretary at
  4. The provisions for electing members of the Board of Directors are contained in By-Law 26(c) of the Institution’s Memorandum and Articles of Association.

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