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* 1. Student Name:

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* 2. Student ID:

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* 3. Mobile Telephone Number:

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* 4. Email Address:

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* 5. Role/s Applied for:

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* 7. Please state five things you would do in your role if elected: (Make it count; you'll be fighting an election on these points! Please note these will be published online and printed at voting stations)

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* 8. Signature (Digital signature accepted)

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* 9. Date

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