SIOPSA

SOCIETY FOR INDUSTRIAL & ORGANISATIONAL PSYCHOLOGY OF SA

PO Box 577, Fontainebleau, 2032

Tel: 0860 (SIOPSA)

info@siopsa.org.za

www.siopsa.org.za
PRESIDENT-ELECT 2024/2025 - NOMINATION FORM

Nomination of a person to be proposed by the Annual General Meeting of SIOPSA for appointment as President-Elect in terms of clause 8.4 of the SIOPSA Constitution is hereby issued.

Nominations must be submitted by 30 May 2024.

THE NOMINEE, PROPOSER AND SECONDER MUST BE FULL SIOPSA MEMBERS AT THE TIME OF COMPLETING THE NOMINATION FORM.

POSITION FOR WHICH NOMINATED: PRESIDENT-ELECT 2023/2024

Full name and surname of nominee (block capitals please):
Name

First NameLast Name
Email Address
example@example.com
Physical Address
Acceptance of nomination:

(by signing the nomination form I confirm my availability for the position of President-Elect in terms of the Constitution of SIOPSA.)
Signed
Date

MonthDayYear
Date
Proposed by
Signed
Date

MonthDayYear
Date
Seconded by
Signed
Date

MonthDayYear
Date
Non-Profit Registration Number - 042 531-NPO, VAT Registration Number - 4740206620 Physical Address - Centurion, Southdowns Ridge Office Park, John Vorster Drive, Centurion, Pretoria, 0157
Should be Empty: