Committee Nomination

  • I wish to nominate the following member for election to the Hurricane Go Kart Club committee.
  • I confirm my willingness to stand for election to the Hurricane Go Kart Club committee and declare that I am not:
    a) an undischarged bankrupt or a person whose affairs are under insolvency laws;
    b) a person convicted of an offence involving fraud or dishonesty punishable on conviction by 3 months or more imprisonment; or
    c) a person convicted of an offence in connection with the promotion, formation or management of a body corporate, including the duties provisions under the Act.
  • To be valid, this form must be received no later than 7 days before the Annual General Election.
  • Date Format: DD slash MM slash YYYY
  • This field is for validation purposes and should be left unchanged.