University of Melbourne Annual Student Election
Monday 7 – Friday 11 September 2015
PLEASE FILL ELECTRONICALLY THEN PRINT
Group Ticket Registration Form
Name of ticket: Click here to enter text.
Name of authorising officer: Click here to enter text.
Student number: Click here to enter text.
Email:Click here to enter text.Phone: Click here to enter text.
Address:Click here to enter text.
Officer’s signature: ______Date: ______
Details of another 17 students wishing to be members of the ticket:
Name / Student number / Telephone / SignatureClick here to enter text. / Click here to enter text. / Click here to enter text. /
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Nominations, ticket registration and group ticket order
Close 12 midday sharp, Friday 14 August 2015.
Please complete page 2…
Please complete page 2…
If the proposed name of the ticket has been used in any UMSU electionduring the last three years, consent must be obtained from theprevious ticket holder:
Details of ticket’s previous authorising officer:
Name: Click here to enter text.
Student number: Click here to enter text.Phone: Click here to enter text.
Email:Click here to enter text.
Signature: ______Date: ______
If the proposed name of the ticket includes the name of a club orsociety affiliated with UMSU or MU Student Union Ltd, you must include terms of thatclub/society’s resolution approving the use of the name:
Click here to enter text.
Details of President or Secretary certifying thepassing of the resolution:
Name: Click here to enter text.
Student number: Click here to enter text.Phone:Click here to enter text.
Email:Click here to enter text.
Position in club/society: Click here to enter text.
Date of resolution: Click here to enter text.
Signature: ______Date: ______
Group ticket order, nominations and ticket registration
Close 12 midday sharp, Friday 14 August 2015.
Nominations and ticket registration open 12pm Monday 27 July. All of the requested information must be complete for the nomination to be accepted. All forms should be delivered in person to the Returning Officer or an authorised electoral official. The office is located in the Old computer centre, 4th Floor Union House. Please ring Haydn Steel (Ph:0401 421 480)Stephen Luntz (Ph: 0438 667 787)to confirm a time. Where this is not practicable they may, by prior arrangement only, be sent via registered mail to Above Quota Elections Pty Ltd, PO Box 2157, Fitzroy VIC 3065. Please ring to arrange the mailing option.