Candidate's Full Names *Company *Current Position in the Company *Candidate's Telephone Number *Candidate's Email Address *Company Membership Number (Please state your company's ATCON membership number) *Position into which election is sought (Please select the position you wish to contest for) *President1st Vice President2nd Vice PresidentNational SecretaryFinancial SecretaryTreasurer SecretaryPublicity SecretaryCoordinator, ConsultingCoordinator, Internet Service ProvidersCoordinator, Equipment DealersCoordinator, Telephone OperatorsCoordinator, Infrastructure ServicesCoordinator, VAS ProvidersCoordinator, ManufacturersConfirmation of Financial Status by Candidate (Please confirm that the organization you represent is up to date in respect of its financial obligations to the Association) *YesNoName of Sponsor (I) (Only financial members of the Association can sponsor candidate for election) *Sponsor (I) (Telephone Number) *Sponsor (I) (Email Address) *Company of Sponsor (I) *Confirmation of Financial Status of Sponsor (I) (Please confirm that your sponsor's organization is up to date in respect of its financial obligations to the Association) *YesNoName of Sponsor (II) (Only financial members of the Association can sponsor candidate for election) *Sponsor (II) (Telephone Number) *Sponsor (II) (Email Address) *Company of Sponsor (II) *Confirmation of Financial Status of Sponsor (II) (Please confirm that your sponsor's organization is up to date in respect of its financial obligations to the Association) *YesNoCandidate's Identity Card (Please upload Data Page of either International Passport, National Identity Card or Driver’s License) * Drop your file here or click here to upload You can upload up to 1 files. Candidate's Corporate portrait/passport (Please upload recent corporate portrait or passport photograph) * Drop your file here or click here to upload You can upload up to 1 files. Candidate's Profile (Please share your short profile (half/three quarters of a page) stating your education background, work experience, capability for the position sought for) *DECLARATION - By submitting this nomination form, I hereby declare that the information provided is true, accurate, and complete to the best of my knowledge and belief. I understand that any false statement or omission may result in disqualification. *Yes, I agreeNo, I disqualify meWebsiteSubmit
