Director Consent to Act

JOOMBARN-BURU
Consent to become a director form
Full name of person
Residential address (a postal address is not sufficient)
Town/Community
Date of Birth
Place of Birth
Signature of person
Date

DayMonthYear
Date
NOTE:This form should be completed and given to the Corporation before the person is appointed as a director (section 246-10(1) of the CATSI Act The period of automatic disqualification is set out in sections 279-5 and 279-10 of the CATSI Act.
Should be Empty:

JOOMBARN-BURU