FPM voting form for Elected Fellow Trustee 2023

FACULTY OF PHARMACEUTICAL MEDICINE

of the Royal Colleges of Physicians of the United Kingdom
Elected Fellow Trustee 2023
Voting Form
Name:*

First NameLast Name
Email:*
example@example.com
Only Members (MFPM) and Fellows (FFPM) are eligible to participate in any votes.

PLEASE DO NOT VOTE if you are an Honorary, Affiliate or Associate member.
I am a Fellow (FFPM) or Member (MFPM) of FPM and therefore I am entitled to vote*

Fellow (FFPM)Member (MFPM)
ELECTION CANDIDATES
Please tick the box below of the candidate you are voting for:*

Dr Latha ParvataneniDr Rav Seeruthun
Signature (use cursor to sign electronically)*

Clear
Voting closes at 12 noon on Friday 27 October
Should be Empty: