Please complete as much of this form as you can. The mandatory fields are marked with a star. Confirm you are not a robot (for security reasons), and submit the form with the submit button.
If you are the nominee and you do not yet have a proposer or seconder leave that information blank and we will contact you to discuss this.
If you are the proposer fill in your own details and, of course, the name of the nominee and the post(s) field, and the name of the seconder if you have one.
In all cases we will contact the nominee, the proposer and the seconder by email to get confirmation that all parties are willing to act in these roles.