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FISHERIES SOCIETY OF NIGERIA

Old College, NIOMR, Bar Beach B/Stop, Ahmadu Bello Way,


Victoria Island, P.O.Box75971,AdeolaOdeku, Victoria Island,
Lagos.
E-mail: info@fison.org.ng
website: www.fison.org.ng
08033331339, 08036792753
ELECTORAL NOMINATION FORM
Name:
……………………………………………………………………………………………………………
……………………………….
Address (Office):
……………………………………………………………………………………………………………
……………….
Mobile Phone:
………………………………………………………………………………………………………
……………………….. Email:
………………………………………………………………………………………………………
………………..…………………… Executive Council Position Desired:
………………………………………………………………………………………………..
Professional Status (State/Membership No.):
…………………………………………………………………………………
Present Status:
……………………………………………………………………………………………………………

Establishment and FISON State/Zonal/National Formations)
Name of Sponsor/Proposer:
……………………………………………………………………………………………………………
Address of Sponsor.....
……………………………………………………………………………………………………………
……….
…………………………………………………………………………………………………………
……………………………………………..

Signature (Signature of Sponsor/Proposer):


……………………………………………………………………………………
Name of 2nd Sponsor:
……………………………………………………………………………………………………………
…………
Address of Sponsor:
…………………………………………………………………………………………………………………
………
…………………………………………………………………………………………………………………
……………………………………...

Signature of Seconder:
……………………………………………………………………………………………………………
……….

State Chairman’s Endorsement.............................................................................................................

S/N Recommendation by FISON Secretariat


1. Payment of Fee ( )Yes ( )No Fulfilment of Financial Obligations: ( )Yes ( )No
2. Fulfilment of other Constitutional Obligations ( ) Yes ( ) No
3. TheCandidateandsponsorshave/havenotfulfilledallobligationsnecessary.
FOR OFFICIAL USE ONLY
The above nominated candidate is constitutionally and financially acceptable.
He/she is recommended.

………………………………………………………………..
CHAIRMAN, ELECTORAL COMMITTEE
Note:
The deadline for submission of forms and screening is on or before Tuesday 25 th October, 2022.
The Electoral form should be accompanied with evidence of payment of the sum of
Twenty Thousand Naira (₦20,000) only, to Fisheries Society of Nigeria, First Bank
Account No: 2008563950.

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