Nomination form for the Security and Reliability Council (SRC)

Please note all relevant fields are mandatory. 

SRC position(s) that this nomination relates to:
A.

A. Nominee contact details

B.

B. Nominator's contact details (if different from nominee)

C.

C. Qualifications and experience

Please provide a brief summary of the nominee’s qualifications/experience in relation to the following: 

D.

D. Disclosure of interests of nominee for membership

If a nominee for SRC membership has any interests that could be construed as a conflict of interest, please list these below. If the nominee has no known interests of relevance, please note that below.

E.

E. Please attach the following

  1. an up-to-date CV for the nominee, detailing relevant qualifications, personal attributes, experience, expertise and any other matter which makes the nominee eligible for this position. Please include referee details with their CV.
  2. evidence that the nominee agrees to the nomination (e.g. an email from the nominee).