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INTERNATIONAL CANCER INFORMATION SERVICE GROUP (ICISG)
NOMINATION FOR BOARD OF DIRECTORS 2012-15

An ICISG organizational voting member can submit two nominations for a director position on the board. The next election for the Board of Directors will be held on August 28, 2012, from 12PM-1:30PM, during the General Meeting of Members at UICC Cancer Congress, in Montréal, Québec, Canada (location to be determined). Nominated candidates must be present at the election for their nominations to be considered.

Nominee for position of director

Title*
First name*
Last name*
Job title
Organization
Mailing address*
City
Post/Zip code
Country
Tel
Fax
Email*

Nominated by ICISG voting member of your organisation

Title
First name*
Surname*
Job title
Organization
Address
City
Post/Zip code
Country
Tel
Fax
Email*

Please obtain consent from the person you are nominating and include a biographical paragraph (no more than 500 words) in text below.

Consent from nominee? Yes | No

Biographical paragraph:

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*denotes compulsory fields