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Get Gujarati Samaj Dc

Gujarati Samaj of Metropolitan Washington 13558 Smallwood Lane Chantilly VA 20151 Phone 703 968-2590 Email president dcsamaj. /Mrs. /Miss as a candidate for the position of for the Gujarati Samaj of Metropolitan Washington for the calendar year 2012. org website http //www. dcsamaj. org Nomination Form - Year 2012 Committee and Youth Committee We the undersigned nominate Mr. The details of the candidate are as listed below Candidate s Name Last First M. I. Member s Name Last First M. I. If membership is in the name of other than candidate i*e* under spouse/parent s name Address City State Zip Code Phone Membership No* Email Address Established residence in Metropolitan Washington area prior to September 1st 2011 Yes No Eligible to contest per Samaj By-laws Article IV 3 a and Article VI 3 a and b as amended Nominated by Seconded by Name Membership No Signature All fields in this form are mandatory. to kshah211 verizon*net to President DCSamaj. org Candidate nomination form notice. I agree to the above candidacy and certify that the above information is correct to the best of my knowledge. Please Note Mail completed form in sealed envelope to reach by 7. 00 PM on Nov* 11 2011 Mail to Attn Election Committee 47245 Ox Bow Circle Potomac Falls VA 20165-3139 For Election Committee Use Only Form is valid Yes No Verified by Name Verified by Signature Rev* August 2011. The details of the candidate are as listed below Candidate s Name Last First M. I. Member s Name Last First M. I. If membership is in the name of other than candidate i*e* under spouse/parent s name Address City State Zip Code Phone Membership No* Email Address Established residence in Metropolitan Washington area prior to September 1st 2011 Yes No Eligible to contest per Samaj By-laws Article IV 3 a and Article VI 3 a and b as amended Nominated by Seconded by Name Membership No Signature All fields in this form are mandatory. I. If membership is in the name of other than candidate i*e* under spouse/parent s name Address City State Zip Code Phone Membership No* Email Address Established residence in Metropolitan Washington area prior to September 1st 2011 Yes No Eligible to contest per Samaj By-laws Article IV 3 a and Article VI 3 a and b as amended Nominated by Seconded by Name Membership No Signature All fields in this form are mandatory. to kshah211 verizon*net to President DCSamaj. org Candidate nomination form notice. I agree to the above candidacy and certify that the above information is correct to the best of my knowledge. to kshah211 verizon*net to President DCSamaj. org Candidate nomination form notice. I agree to the above candidacy and certify that the above information is correct to the best of my knowledge. Please Note Mail completed form in sealed envelope to reach by 7. 00 PM on Nov* 11 2011 Mail to Attn Election Committee 47245 Ox Bow Circle Potomac Falls VA 20165-3139 For Election Committee Use Only Form is valid Yes No Verified by Name Verified by Signature Rev* August 2011.

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